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PHYSICIAN CONTRACT SPECIALIST

Department:  Business Services
Status:  Full Time
Shift:  1st
Remote or Onsite:  Remote
Location: 

Newport Beach, CA, US, 92617

Salary Range: $39.2400 - $60.3400 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

 

The Physician Contract Specialist is responsible for designing, facilitating, executing and leading all transactional elements of a high volume of Hoag physician contracts, including, but not limited to, hospital-based physician contracts, professional services contracts, call coverage contracts, medical/program director contracts, individual and group recruitment contracts, hospitalist contracts and other miscellaneous independent contractor contracts, as requested.  Collaborates with senior level executives, in-house team members, Hoag Compliance Department and Hoag attorneys to expeditiously draft, amend, renew and terminate such contracts in compliance with Hoag policy, legal and regulatory requirements.  Manages monthly reimbursement process and 1099 filings related to recruitment contracts.  Creates, updates and maintains physician contract templates.  Responsible for the selection, implementation and management of LegalFiles, a centralized, web-based application to streamline and automate the physician contracting process, as well as to serve as a repository for executed contracts. The Physician Contract Specialist educates team members to promote and maintain an effective physician contract process 

 

Primary Duties and Responsibilities 

  • Supports the legal team by managing contracts with health care providers.  
  • Responsible for creating, drafting, revising, amending, managing, and administering contracts, developing and managing internal contracting protocols, credentialing, compliance, and compensation.  
  • Ensures contracts meet all regulatory and legal requirements and align with organizational goals and policies. 
  • Prepare and review contracts for physicians, including employment agreements, independent contractor agreements, professional services agreements, and other related documents
  • Negotiate contract terms and conditions with physicians and other parties, ensuring compliance with federal, state, and local laws and regulations, as well as internal policies and procedures
  • Coordinate with various departments, such as compliance, physician services, medical staff, human resources, finance, credentialing, and legal, to obtain necessary approvals and signatures for contracts
  • Maintain and update the contract database and files, using Agiloft contract lifecycle management system to track contract status, expiration dates, renewals, amendments, and terminations
  • Monitor contract performance and compliance, and resolve any issues or disputes that may arise
  • Provide contract support and guidance to staff and answer contract-related inquiries or requests
  • Conduct contract audits and analysis, and prepare reports and recommendations for contract improvement and optimization
  • Perform and manage legal due diligence on mergers, acquisitions, and other transactional work
  • Gather and develop facts in connection with inquiries and investigations, and in response to discovery requests
  • Draft and send legal correspondence
  • Maintain confidentiality on all sensitive information and department matters
  • Brings forth creative ideas (one’s own or others) to address patient, physician, customer, and community needs.  Looks for creative or new ways to improve efficiencies and reduce costs.  Adopts new processes, techniques and methods.  Stays current with technologies and advances in his/her area, department and/or field.

 

Education and Experience

  • Bachelor’s Degree 
  • 6+ years of experience in corporate/healthcare related area with contractual and legal experience
  • Familiar with a variety of the physician contract concepts, practices or procedures
  • Relies on extensive experience and judgment to plan and accomplish goals
  • Knowledge of Federal and State laws including Stark and Anti-Kickback as they apply to physician contracts
  • Computer experience and proficiency with MS Word software

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.


Nearest Major Market: Irvine California
Nearest Secondary Market: Los Angeles

Job Segment: Compliance, Contract Manager, Law, Database, Physician, Legal, Technology, Healthcare

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