Contract Specialist

SUMMARY

Assists the Contract Department in the consistent management of all Medicaid, State, and Educational contracts. This includes involvement in the negotiation of contracts; preparing contract modifications; analyzing procurement policies and procedures; analyzing proposed costs and prices; and preparing required contract file documentation. This requires close collaboration with various departments, including compliance, legal, clinical/medical operations, business development, sales/marketing, finance, and placement services as well as with funding sources.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Vet new state funding potentials, research Medicaid requirements, update and create Contract Executive Summaries for new funders, send Executive Summary for approval by Assistant Director then Managing Director. The executive summary will be sent after approval to placement and departments for review/questions, set up meeting to review if needed, create funding request through Wufoo form for finance
• Track & Follow up on current single case agreements that need to be reviewed, signed, due soon, expired, and dually executed.
• Track & Follow up on new authorizations and purchase orders for new funders until departments get this into their rotation
• Create login/passwords for new funder portals (state funded only)
• Update various contract forms (program description, rate sheets, etc.)
• Fill out and send renewal documents for funders (COIs, Joint Commission, license, certifications, etc.)
• Get contract signatures
• Research state requirements for educational funding (centralized versus decentralized, what documents required, key contacts)
• Set up educational funding
• Follow up on Medical Expenses to be paid
• Create new entry for Contract in C360, upload all applicable document, create recurring tasks as reminders, update existing entries
• Cross train for other contract department team members to cover while they are out
• Track & Report all COIs needed for YV
• Complete Medicaid applications/enrollments as indicated
• Follow up with legal on contract language concerns
• Ensure billing/UR has set up web portals for their duties
• Ensure benefit assignments and rates have been correctly set up in Evolv
• Assist billing specialist with resolving claim issues associated with educational funding
• Other duties as assigned

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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

High School or Bachelor's degree with one year of experience with subcontracts within an education institution. Knowledge of regular and special education requirements along with understanding the difference between psychiatric residential versus education residential services. Bachelor’s degree in education with residential experience is preferred.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general contractual and business documents, safety rules, operating and maintenance instructions, procedure manuals, and governmental regulations.

Ability to write routine reports, business correspondence, and excel grids.

Ability to effectively present information and respond to questions from groups of managers, staff, contractual customers, and the general public.

MATHEMATICAL SKILLS

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

OTHER SKILLS AND ABILITIES

Good project management skills.

Thorough grounding in Youth Villages' mission and values, knowledge and understanding of the YV programs as well as YV Treatment Model.

Ability to educate, motivate, and hold staff accountable staff. Commitment to personal education is expected.

Ability to obtain reliable transportation with liability insurance. Ability to obtain a valid driver's license. Ability to travel on a regular basis.

Ability to use a personal computer with standard software (Microsoft Word, Excel, PowerPoint, SharePoint)

Ability to use and learn additional computer software

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand. The employee is occasionally required to walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and taste or smell. The employee must regularly lift and/or move up to 50 pounds and frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Covid-19 Vaccine Requirement

As of October 15, 2021, Youth Villages has required the COVID-19 vaccine for all employees, excluding those with an approved medical or religious exemption, as a condition of employment to help ensure the safety of all employees and youth and families served.

Benefits

Medical, Dental, Prescription Drug Coverage and Vision
401(k)
2 weeks paid vacation
12 paid sick days per year
11 paid holidays

Paid Parental Leave
Mileage & Cell Phone Reimbursement (when applicable)

Tuition reimbursement and licensure supervision

Growth & development through continuous training

Clinical and administrative advancement opportunities

Youth Villages is an equal opportunity employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Youth Villages is committed to not only advancing diversity, equity, and inclusion in the workplace but also in our work with children and young adults. We know that children, families and young people of color can face inequity in child welfare and justice systems, and we train our employees to build the skills they need to work with the communities that we serve, as well as, other employees from different cultures and backgrounds. Youth Villages is opposed to racism in any of its forms and is committed to inclusion, equity, and diversity. We believe that respect for each other is crucial in the work that we do each day.