Accountable for maintaining the relationship with Subcontractors and Third Party Administration clients, creating and negotiating contracts, auditing and ensuring contract compliance and resolution of various issues related to services, which may include, but are not limited to, regulatory compliance, member/provider complaints, data reporting, claims payment, invoice generation and payment receipt and provider access & availability. ' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.