Contracts Coordinator I

Description

Position Summary

This role supports Nufactor Managed Markets and Operations by coordinating and maintaining contracting efforts with Managed Care Organizations (MOCs), Preferred Provider Organizations (PPOs), Individual Practice Associations (IPAs), and Pharmacy Benefit Managers (PBMs).  Responsibilities include organizing, updating, and centralizing contract-related data to ensure efficient management of agreements.

Essential Functions and Duties

• Maintain and update the Reimbursement by Health Plan spreadsheet, including:
  • Pulling and updating multiple pricing methods (Redbook AWP, RJ Health AWP, WAC, ASP) monthly
  • Requesting and updating health plan, Medicaid state fee schedules, and Medicare pricing as needed
  • Coordinating pricing and fee schedule changes in CPR+ and maintaining contract records
• Manage and organize contracting materials, including agreements, amendments, and databases for commercial, PPO/network, Medicare, Medicaid, and PBM contracts.
• Assist Managed Market Directors with applications, credentialing, recredentialing, LOAs, and pulling required documentation per requirements.
• Prepare pricing proposals using data from the Reimbursement by Health Plan spreadsheet.
• Generate reports from Care Tend BI or similar platforms as needed.
• Collaborate with Legal, Reimbursement, Managed Markets, Accounting, and Compliance teams to ensure timely contract reviews, approvals, and distribution.
• Handle contract indexing, uploading, and tracking across company databases (shared drives, SharePoint, ConvergePoint, etc.).
• Support bid preparation by coordinating data collection and contract comparisons.
• Research and complete forms for contract certification, regulations, and vendor compliance.
• Maintain and update NCPDP site information, including licensures and annual attestations.
• Develop or update Standard Operating Procedures (SOPs) as needed.
• Adheres specifically to all company policies and procedures, Federal and State regulations and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Represent the Company in a professional manner and appearance at all times.
• Understand and internalize the Company’s purpose; Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and; respect the diversity of our work force in actions, words, and deeds.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.
• Other duties as assigned.

Qualifications

Education, Knowledge, Skills and Experience

Required Education:

• High School diploma or equivalent required.
• Bachelor’s degree in related field preferred.

Required Knowledge:

• General understanding of healthcare industry concepts and processes.

Preferred Knowledge:

• Knowledge of Managed Care, Health Insurance contracting, and drug pricing.

Required Experience:

• At least three (3) years of experience in healthcare management, sales, clinical services, or customer service.

Preferred Experience:

• Five (5) years’ experience in managed care/markets, understanding of specialty pharmacy and contracting procedures with health payers is desirable.

Required Skills:

• Intermediate to advanced proficiency in Microsoft Excel, PowerPoint, Outlook, and Word.
• Strong attention to detail and accuracy in data entry, reporting, and contract processing.
• Excellent organizational and prioritization skills.
• Effective verbal and written communication.
• Ability to work independently and within a team.
• Strong decision-making skills.

Preferred Skills:

• Ability to communicate ideas constructively and positively.
• Strong commitment to meeting deadlines and keeping stakeholders informed.

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands and/or fingers. Must have the ability to view a computer screen for long periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled.  Must have the ability to lift and maneuver items of at least 20 lbs. Working condition include normal office setting.

Mental Demands

Learning, thinking, concentration and the ability to work under pressure, particularly during busy times.   Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service.  Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations’ situations.  Must have the ability to exercise discretion as well as appropriate judgments when necessary.  Must be proactive in finding solutions.

Direct Reports

No

EEO Statement

FFF Enterprises and Nufactor are an equal opportunity employer and prohibits discrimination and harassment based on the following characteristics: race, color, religion, national origin, physical or mental disability, gender, age (40 years and over) qualified veteran and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.