Astiva Health, Inc

SUMMARY: The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the coordination and review of all contracts. The Contract Coordinator is also responsible for implementing, organizing, and maintaining contract related documents. This is a collaborative role requiring critical thinking skills, independence, a strategic mindset, and attention to detail. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Manage and maintain Astiva's contracts, including all day-to-day data entry, permissions/access and reporting, in an efficient, accurate and exceptionally organized manner. Review a wide range of commercial contracts and distill key pieces of data (e.g., expiration date and type, restrictive provisions, and assignability). Understand the contracting process, policies and procedures, requirements, fee schedule, including contracting support for ancillary services contracts, contract implementation and other duties as required. Manage reporting process for communicating and tracking contract expirations/renewals and additional reporting obligations to all areas of the business. Serve as liaison between the Contracting/Legal Department and other departments including, fielding and responding to various requests from the business and external parties. Manage electronic signature processes and contract workflows for the Contracting/Legal Department. Assist in developing the direct network of providers. Make recommendations to department leadership for improvement of any and all procedures and systems at Astiva Health. Other duties may be assigned. QUALIFICATION REQUIREMENTS : To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE : Bachelor's degree from an accredited college or university with a focus on Business Administration, Healthcare Administration or Finance or equivalent combination of education and experience. Be able to work effectively with all levels of employees and management. Excellent written and verbal communication skills with experience presenting to various audiences. Have a practical, business-oriented approach to problem-solving and be able to effectively work with teams to meet business needs. Able to manage multiple priorities in a fast-paced environment. Preferred but not required Minimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO. Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization. In-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient with MS Office Suite and other database software. Knowledge of Medicare regulations, NCQA, HIPPA compliance BENEFITS: 401(k) Dental Insurance Health Insurance Life Insurance Vision Insurance Paid Time Off Catered lunches

Join Astiva Health - Where Compassion Meets Innovation At Astiva Health, we believe healthcare should be accessible, affordable, and deeply personal. Based in Orange, CA, we serve a diverse community through Medicare and HMO services designed to meet people where they are. We're not just building networks, we're building trust, equity, and better outcomes. If you're ready to help reshape healthcare delivery with purpose and precision, we invite you to bring your talents to our team. What You'll Do The Provider Support Coordinator (PSC) is entrusted with delivering exceptional service to Independent Practice Associations (IPAs), Medical Groups, Management Services Organizations (MSOs), providers, hospitals, and ancillary network providers. The PSC plays a vital role in the recommendation, development, and execution of Quality-of-Service strategies designed to enhance operational effectiveness and elevate provider satisfaction levels. Why Astiva? We're more than a health plan-we're a movement toward better care. At Astiva, you'll find a culture of collaboration, innovation, and heart. We celebrate diversity, empower our teams, and invest in the communities we serve. Come build something meaningful with us. Your Impact and Core Responsibilities Relationship Management: Foster strong, collaborative relationships with contracted Providers to ensure seamless communication and partnership. Issue Resolution: Coordinate between Providers and internal teams to quickly resolve questions about eligibility, benefits, contracts, claims, and referrals via phone, voicemail, and email. Data Accuracy: Conduct outreach to verify Provider information, ensuring the accuracy of the provider directory and compliance with regulatory requirements. Portal Support & Training: Assist Providers with portal account setup and deliver virtual training to enhance their ability to navigate and utilize the system efficiently. Credentialing Support: Partner with the Credentialing team to collect necessary documentation from Providers, supporting timely onboarding and compliance. Quality Improvement Collaboration: Support HEDIS and RAF initiatives by obtaining medical records, contributing to the organization's quality performance metrics. Provider Education: Coordinate and facilitate Provider meetings focused on education and initiatives such as annual wellness exams. Policy Adherence: Maintain up-to-date knowledge of departmental policies, procedures, and programs to ensure consistent and compliant operations. Flexibility: Perform additional duties as needed to support departmental goals and organizational success. Enhances Provider satisfaction and engagement through responsive and proactive support. Improves operational efficiency by resolving Provider issues quickly and accurately. Supports compliance and data integrity through diligent verification and documentation. Contributes to quality care outcomes by facilitating Provider participation in key health initiatives. Strengthens the organization's reputation and performance through effective provider relations and collaboration. What You Bring Education & Experience Bachelor's degree in Business, Healthcare Administration, Finance, or equivalent experience 1 year previous experience in a provider relations role within a health plan, IPA, or medical group strongly desired. Skills & Competencies Strong working knowledge of Medicare, Medicaid and HMO health plan required. Strong critical thinking and independent research skills for complex issues. Practical problem-solving skills and a collaborative mindset Self-motivated with a positive attitude and customer service orientation Strong written and verbal communication skills Fluent in Vietnamese, Korean, Spanish, or Chinese preferred Benefits That Support You 401(k) Retirement plan Health, Dental, and Vision Insurance Health savings account Life insurance Paid time off and Holidays Referral program Free catered lunches