The Senior Contract Administrator is responsible for sustaining and building assigned network with full panel of ancillary providers. Identify network needs and negotiate Ancillary Contracts and Memorandums of Understanding (MOUs) with providers to ensure availability and accessibility to members. Produce contract documents (fee for service agreements, capitation agreements, MOUs) and ensure timely turn around. Negotiate stat contracts with non-contracted providers.With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.Three (3) years of contracting experience related to healthcare and sales negotiation experience required.Bachelors degreeMaintain ancillary network for all Prospect owned and managed IPAs for both full risk and non-full risk lines of business as well as Prospect Health Plan including, but not limited to DME, Lab, Radiology, ASC, Urgent Care, Home Health, SNF, etc. Negotiate new agreements or amend existing agreements as necessary to fulfill companywide new business objectives, new lines of business, etc. Identify network needs and fill network gaps by negotiating ancillary contracts and MOUs with providers. Prepares and submits requests for financial analysis to finance department in preparation for negotiating new capitated contracts or when renegotiating existing contracts. Upon termination of existing ancillary provider reviews network to ensure there are other contracted providers in the specialty or service category, ensures a termination acknowledgement letter is sent, if needed, negotiates contract with new provider. Oversees follow up for return signed contracts, amendments and/or credentialing applications, works with credentialing department as needed to obtain credentialing documents, upon completion of credentialing process presents contracts for execution.|Audits CDA to ensure executed contracts and amendments are accurately entered. Creates and submits electronic change forms for new agreements, amendments, terminations, demographic changes, new tax ID numbers, revisions to agreement, etc. Ensures contract summaries filed on the K drive contain accurate contract information. Maintain ongoing relationship with ancillary providers to ensure smooth implementation and operations of agreement. Receives and responds to calls from assigned network providers, provides customer service to network providers by responding to contracting inquiries, requests for reimbursement increases, claims issues, credentialing issues, etc. Attends JOCs for contracted providers, and initiates meetings with existing and new providers.|Review new Letters of Interest to determine need for network gaps.|Maintain current ancillary provider network roster at all times. Provides network information for health plan auditing purposes. Provides customer service for internal, as well as, outside inquiries by providing clarity on contractual arrangements and reimbursement structures. Reviews weekly CDA reports to ensure contracts are accurately loaded and turnaround times are being met. Completes and/or oversees special projects, mass amendments and other assignments as needed or as assigned.Maintain ancillary network for all Prospect owned and managed IPAs for both full risk and non-full risk lines of business as well as Prospect Health Plan including, but not limited to DME, Lab, Radiology, ASC, Urgent Care, Home Health, SNF, etc. Negotiate new agreements or amend existing agreements as necessary to fulfill companywide new business objectives, new lines of business, etc. Identify network needs and fill network gaps by negotiating ancillary contracts and MOUs with providers. Prepares and submits requests for financial analysis to finance department in preparation for negotiating new capitated contracts or when renegotiating existing contracts. Upon termination of existing ancillary provider reviews network to ensure there are other contracted providers in the specialty or service category, ensures a termination acknowledgement letter is sent, if needed, negotiates contract with new provider. Oversees follow up for return signed contracts, amendments and/or credentialing applications, works with credentialing department as needed to obtain credentialing documents, upon completion of credentialing process presents contracts for execution.|Audits CDA to ensure executed contracts and amendments are accurately entered. Creates and submits electronic change forms for new agreements, amendments, terminations, demographic changes, new tax ID numbers, revisions to agreement, etc. Ensures contract summaries filed on the K drive contain accurate contract information. Maintain ongoing relationship with ancillary providers to ensure smooth implementation and operations of agreement. Receives and responds to calls from assigned network providers, provides customer service to network providers by responding to contracting inquiries, requests for reimbursement increases, claims issues, credentialing issues, etc. Attends JOCs for contracted providers, and initiates meetings with existing and new providers.|Review new Letters of Interest to determine need for network gaps.|Maintain current ancillary provider network roster at all times. Provides network information for health plan auditing purposes. Provides customer service for internal, as well as, outside inquiries by providing clarity on contractual arrangements and reimbursement structures. Reviews weekly CDA reports to ensure contracts are accurately loaded and turnaround times are being met. Completes and/or oversees special projects, mass amendments and other assignments as needed or as assigned.