Jobs · OTHR · Nevada

Contract Support Specialist

Prominence Health · Reno, NV · 1 mo ago
On-siteOTHRFull-time
We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. So we need to extract relevant content: The posting includes: - Intro about Prominence Health (value-based care org). That could be "About the role"? Actually "About the role" maybe description of role. The job summary: Under direction of Contract Manager the Contract Support Analyst is responsible for administration and implementation of provider agreements... etc. That's responsibilities. - Responsibilities: The paragraph describing duties. - Benefits: "Benefit Highlights Loan Forgiveness Program Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: benefits.uhsguest.com" - Qualifications: "Qualifications and Requirements: High School Graduate/Equivalent Technical School/1 Year College Bachelor’s Degree, preferred Bachelor’s degree in business administration or health services preferred. Education may be substituted for equivalent years of experience. Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations required Ability to effectively communicate in English, both verbally and in writing. Proficient in Microsoft Office skills (Excel, Word, Access,etc.) Enjoys working in both individual and team settings Must be able to work independently; providing management with status updates Multi-task; establish priorities Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment Good communication and relationship skills Strong analytical skills Attention to detail Experience in working with QNXT, Impact and/or any claim processing application is preferred" - Skills: Could be derived from qualifications: communication, Microsoft Office, analytical, attention to detail, etc. But we should not duplicate. Could have a Skills section listing those. - About the role: maybe the introductory paragraph about Prominence Health and job summary? The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we need to decide which sections to include based on content. We have content for About the role (description of organization and role). Responsibilities (duties). Qualifications (requirements). Skills (maybe separate). Benefits (benefit highlights). Pay: Not mentioned explicitly (no salary). So we should not include Pay section. Schedule: Not mentioned. Requirements: Could be same as Qualifications? The list includes Requirements and Qualifications as separate possible headings. The posting has "Qualifications and Requirements:" combined. We could treat that as Qualifications section. Could also have Requirements separate but we can combine. The instruction: Prefer a few substantive sections over many thin ones. So we could have About the role, Responsibilities, Qualifications, Benefits, Skills. Possibly also Requirements if distinct. But we have qualifications that include requirements. Could make Qualifications cover both. We need to use
  • for any list of duties/requirements/benefits. So for responsibilities we should list bullet points. The responsibilities paragraph is prose; we could break into bullet list of duties. Must preserve all substantive info; we can convert sentences into bullet points. Similarly for qualifications we can list bullet points. Benefits also list bullet points. Skills also list bullet points. We must not invent or summarize away detail. Must preserve all info. So we need to ensure we don't lose any detail. Let's extract details: About the role / organization: - Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. - Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for patients and members. - Founded in 1993, started as HMO, acquired by subsidiary of Universal Health Services, Inc. (UHS) in 2014. - Serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. - Committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing patient experience. - Learn more at: https://prominence-health.com/ (maybe we keep as link? It's not boilerplate; it's substantive. We can include as maybe but not required. We'll keep as plain text with URL.) Job Summary (under About the role maybe): - Under direction of the Contract Manager the Contract Support Analyst is responsible for administration and implementation of provider agreements to ensure parties comply with terms and condition of such agreements. - Serves as point of contact for the Contracting Department and requires in-depth knowledge and understanding of provider contracting. - Ability to analyze and interpret fee schedules and provider contracts to assist with contract resolution as it relates to claim payment and system set-up. - To the extent necessary, works with different departments and personnel to accomplish resolution to contract/claim disputes. - Responsible for auditing of contract builds and maintenance of the system as agreements renew and new agreements are executed. - Experience in healthcare field with focus on provider/contracting data is essential. That's responsibilities actually. So we could treat that as Responsibilities section. Now Benefits: - Loan Forgiveness Program - Challenging and rewarding work environment - Competitive Compensation & Generous Paid Time Off - Excellent Medical, Dental, Vision and Prescription Drug Plans - 401(K) with company match and discounted stock plan - SoFi Student Loan Refinancing Program - Career development opportunities within UHS and its 300+ Subsidiaries! - More information is available on our Benefits Guest Website: benefits.uhsguest.com Qualifications/Requirements: - High School Graduate/Equivalent - Technical School/1 Year College - Bachelor’s Degree, preferred - Bachelor’s degree in business administration or health services preferred. - Education may be substituted for equivalent years of experience. - Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations required - Ability to effectively communicate in English, both verbally and in writing. - Proficient in Microsoft Office skills (Excel, Word, Access, etc.) - Enjoys working in both individual and team settings - Must be able to work independently; providing management with status updates - Multi-task; establish priorities - Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment - Good communication and relationship skills - Strong analytical skills - Attention to detail - Experience in working with QNXT, Impact and/or any claim processing application is preferred Skills: Could be derived from qualifications but we could list: Communication (verbal/written), Microsoft Office proficiency, Analytical skills, Attention to detail, Ability to work independently and in teams, Multitasking, Prioritization, Self-starter, Resourceful, Experience with QNXT/Impact/claim processing applications. But we must not invent. We can list skills that are explicitly mentioned: effective communication in English, proficient in Microsoft Office, good communication and relationship skills, strong analytical skills, attention to detail, ability to work independently, ability to work in team settings, multi-task, establish priorities, self-starter, resourceful, experience with QNXT/Impact/claim processing. We could combine some. We need to avoid duplication: If we put Skills section, we should not repeat same bullet as in Qualifications. But we could still list them; but instruction says preserve ALL substantive information; not invent or summarize away detail. If we list skills separately, we are not losing info, just re-presenting. Might be okay but could be considered duplication. Better to have Qualifications cover requirements and maybe Skills not needed. However the instruction list includes Skills as possible heading; we can include if we have specific skill content not captured elsewhere. The qualifications already include communication, Microsoft Office, analytical, attention to detail, etc. So Skills may be redundant. We could omit Skills section to keep few substantive sections. Thus sections: About the role (organization + job summary?), Responsibilities (maybe we already covered job summary as responsibilities), Qualifications, Benefits. But we need About the role separate from Responsibilities. The job summary could be About the role. Responsibilities could be the detailed duties list. However the job summary already includes responsibilities. To avoid duplication, we could treat About the role as description of organization and role purpose, and Responsibilities as bullet list of duties. Let's craft: About the role: includes description of Prominence Health and the role purpose (under direction of Contract Manager ...). We'll combine the intro and job summary as About the role. Responsibilities: bullet list of duties (administration and implementation of provider agreements, point of contact, analyze fee schedules, work with departments, audit contract builds, etc.) Qualifications: bullet list of requirements. Benefits: bullet list. We must not include Pay or Schedule. Now format: Use

    for each section heading. Use
    • for any list of duties/requirements/benefits. Use

      for prose. Thus:

      About the role

      Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Under direction of the Contract Manager the Contract Support Analyst is responsible for administration and implementation of provider agreements to ensure parties comply with terms and condition of such agreements. This position serves as the point of contact for the Contracting Department and requires an in-depth knowledge and understanding of provider contracting. The ability to analyze and interpret fee schedules and provider contracts in order to assist with contract resolution as it relates to claim payment and system set-up. To the extent necessary, this position will work with different departments and personnel to accomplish resolution to contract/claim disputes. This position is responsible for auditing of contract builds and maintenance of the system as agreements renew and new agreements are executed. Experience in the healthcare field with a focus on provider/contracting data is essential.

      But that is a long paragraph; maybe we split into two paragraphs: organization description and job summary. However we can keep as one. Now Responsibilities: we need bullet list. Let's extract duties: - Administer and implement provider agreements to ensure parties comply with terms and conditions. - Serve as the point of contact for the Contracting Department. - Analyze and interpret fee schedules and provider contracts to assist with contract resolution related to claim payment and system set-up. - Work with different departments and personnel to resolve contract/claim disputes as needed. - Audit contract builds and maintain the system as agreements renew and new agreements are executed. We could also include "Ensure compliance with terms and conditions of provider agreements." Already covered. Now Qualifications bullet list: - High School Graduate/Equivalent - Technical School/1 Year College - Bachelor’s Degree (preferred) - Bachelor’s degree in business administration or health services (preferred) - Education may be substituted for equivalent years of experience - Minimum 3 years' experience in healthcare such as medical claims, contracting, and/or Provider Relations - Ability to effectively communicate in English, both verbally and in writing - Proficient in Microsoft Office skills (Excel, Word, Access, etc.) - Enjoys working in both individual and

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