Contract Coordinator (Hybrid Remote – Southern California)

Alignment Health is seeking a Contract Coordinator to join the Network Management team. Reporting into the Sr. Manager, Network Management, this role plays a critical part in supporting contracting and operations by owning the coordination and routing of contracts, amendments, and provider changes.

This role sits at the center of contracting operations, partnering cross-functionally with network management, credentialing, and internal stakeholders to ensure contracts are processed accurately, efficiently, and on time.

It's an ideal opportunity for someone who is detail-oriented, highly reliable, and thrives in a fast-paced, team-driven environment - someone who takes ownership, follows through without constant oversight, and can quickly learn and navigate systems and processes.

What success looks like:
You consistently route contracts and updates accurately and on time, proactively follow up without being prompted, and become a reliable go-to partner across teams.

Schedule & Work Environment:

This is a full-time position operating on Pacific Time. The schedule is Monday through Friday within standard business hours. Start and end times may be set between 8:00 AM and 5:00 PM PT based on individual preference; however, once established, a consistent daily schedule is expected.

This role is primarily remote; however, team members are expected to work onsite at the corporate office in Orange, CA approximately 1-2 times per month. Candidates must reside within Southern California and be within reasonable driving distance to Orange, CA for occasional onsite expectations.

Job Duties / Responsibilities:

• Gather and validate information required for provider contracts, rosters, W-9s, and credentialing information.
• Prepare contracting routing forms (CRFs) and notice(s) of change (NOC) forms for the operationalization of new contracts, amendments, and provider changes.
• Coordinate with the credentialing department to ensure new providers are approved by Alignment Healthcare in a timely manner.
• Proactively follow up with providers on the receipt of signed contracts and amendments to ensure timely execution.
• Assist with the negotiation and processing of patient specific letters of agreement (LOAs), as needed.
• Assist with contract and operations research needed for day-to-day activities as well as key initiatives.
• Assist with mailing, follow up calls, reporting, and tracking to support network expansion opportunities.
• Maintain the alternative language library for contracting.
• Maintain and ensure accuracy of contract trackers and databases to keep all contract provisions and terms current.
• Assist with contract routing as needed.
• Prepare and organize standardized reports to assist network management with monitoring contracting and operations performance and activities.
• Support standard operating procedure (SOP) and policy generation.
• Support the development and distribution of communications to internal departments and external stakeholders.
• Assist with scheduling meetings, meeting preparation, minutes, and logging projects.
• Other projects and department administrative duties as assigned.

None.

Job Requirements:

Experience:

Required:

• Minimum (1) year of experience in provider relations, customer service with an HMO or IPA, medical group, institutional provider, contracting, or comparable experience.

• (3) years of experience in provider relations, customer service with an HMO or IPA, medical group, institutional provider, contracting, or comparable experience.

• Required: High School Diploma or GED.

• Preferred: Bachelor's degree.

Specialized Skills:

Required:

• Solid analytic and quantitative skills.
• Solid teamwork and interpersonal skills.
• Proficient with MS Word, Excel and PowerPoint; Access database proficiency (preferred)
• Professional phone presence.
• Ability to complete assignments within a given timeframe.
• Solid attention to detail.
• Effective written and verbal communication skills; ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors.
• Ability to work independently in a remote environment, manage priorities, and follow through on tasks without constant direction.
• Demonstrated ability to learn new systems, processes, and workflows quickly.
• Minimum typing speed of 35 WPM using standard two-hand typing.
• Reasoning Skills: Able to prioritize multiple tasks; advanced problem-solving; able to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.

Licensure:

• Required: None

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $44,790.00 - $67,185.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email careers@ahcusa.com .