Tamheer - Provider Contract Support

Position Overview

We are seeking a motivated and detail-oriented professional to join our team as a Tamheer Provider Contract Support Specialist. In this role, you will play a critical part in ensuring the smooth administration of provider contracts, maintaining data integrity within our network systems, and supporting operational efficiencies. Your responsibilities will encompass contract compliance, pricing coordination, network management, and stakeholder communication, all while adhering to regulatory standards and organizational timelines.

Key Responsibilities

Contract Administration

You will provide essential support in maintaining the uniformity, standards, and regulatory compliance of all provider contracts. This includes ensuring that provider files and system data are consistently updated in alignment with contractual agreements and amendments. Your role will involve:

• Assisting in the implementation of standardized contract processes and ensuring adherence to regulatory requirements.
• Updating and maintaining contract files, amendments, and system data to reflect accurate and current information.
• Monitoring contract expiration dates and regulatory licensing deadlines to facilitate timely renewals and avoid disruptions.
• Collaborating with internal teams to ensure contracts are executed in accordance with organizational policies and legal frameworks.

Pricing, Discounts, and Codings

Your expertise will be pivotal in coordinating pricing and coding-related activities to ensure accuracy and compliance. This includes:

• Liaising with internal and external stakeholders to resolve discrepancies in pricing, discounts, and coding standards.
• Uploading updated pricing structures, contract amendments, and related data into operating systems in a timely manner.
• Identifying and reporting system errors or inconsistencies in statements to the line manager for resolution.

Network Design and Management

You will contribute to the maintenance and accuracy of our provider network systems by:

• Ensuring that all network changes are promptly reflected in the relevant systems.
• Updating and maintaining a master sheet that tracks the distribution of providers across the network.
• Supporting the implementation of network modifications, including additions, deletions, and amendments to provider contracts.

Coordination and Communications

Effective communication and coordination are vital to the success of this role. You will:

• Collaborate with the operating team and technical stakeholders to ensure the seamless implementation of contract-related changes, including provider additions, deletions, and milestone achievements.
• Facilitate clear and timely communication between providers, internal teams, and management to resolve issues and streamline processes.
• Serve as a liaison to ensure all parties are aligned with contractual obligations and operational requirements.

Required Skills and Competencies

To excel in this role, you should possess a blend of technical proficiency and interpersonal skills, including:

• Computer Skills: Proficiency in using computer systems and software to manage data, generate reports, and maintain records.
• Compliance & Governance Awareness: A strong understanding of regulatory requirements and organizational policies to ensure contract compliance.
• Process Documentation: Ability to document processes accurately and maintain detailed records for audit and reference purposes.
• Data Analysis and Reporting: Capability to analyze data, identify trends, and generate meaningful reports to support decision-making.
• Dashboard & KPI Tracking: Experience in monitoring key performance indicators (KPIs) and using dashboards to track progress and performance.
• Microsoft Excel (Intermediate): Competency in using Microsoft Excel for data management, analysis, and reporting.
• Microsoft Word Documentation: Skill in creating and maintaining professional documentation using Microsoft Word.
• Action Tracking & Follow-up Management: Strong organizational skills to track actions, follow up on pending tasks, and ensure timely completion.
• Stakeholder Management: Ability to manage relationships with internal and external stakeholders, fostering collaboration and resolving conflicts.

This role offers an opportunity to contribute to the efficiency and effectiveness of our contract management processes while working in a dynamic and collaborative environment. If you are a detail-oriented professional with a passion for compliance and operational excellence, we encourage you to apply.