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Contract Admin Analyst Resume Example

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CONTRACT ADMIN ANALYST
Summary

Highly motivated and determined business professional, detail oriented with strong organizational, communication and time management skills. Diverse background with over 12 years in the legal and healthcare industry. Comfortable interacting with all levels of the organization and the public. Ability to comprehend complex situations, adapt and learn quickly. Committed to quality and excellence.

Highlights
  • Contract Administration
  • Family Law
  • Civil Law
  • Bankruptcy law
  • Knowledge of multiple computer programs, including: Word, WordPerfect, Best Case, PACER, Practice Master, Collect Max and TABS.
  • Credentialing
  • Analytical
  • Meticulous
  • Adapt and learn quickly
Accomplishments

Collected over 2 million in rebates for procurement department in a healthcare organization.

Contributed to the clean-up of 5000 + contracts for new system launch.

Managed the optimization of contract Standard Operating Procedures.

Developed Regulatory Review processes.

Experience
Contract Admin Analyst 07/2013 to Current Anthem Virginia Beach, VA
  • Assist with projects, gather data and research information, organize data and project documents in the development of on-time and accurate deliverables.
  • Track progress of contract activities, providing status updates to internal and external parties, compiling and analyzing contract data, and maintaining historical contract information.
  • Analyze contractual documents to ensure accuracy of key contract data elements.
  • Assist in the development of standard operating procedures.
  • Contribute to the development Medicaid/Compliance processes.
  • Ensure compliance of contracts while maintaining consistency with internal business practices.
  • Perform testing with Ariba software, coordinate problem resolutions with system administrator.
  • Participate in weekly/monthly status updates with clients and project team.
  • Maintain positive working relationship with internal/external clients.
Non-Provider 04/2012 to 07/2013 Amerigroup, Inc Virginia Beach, VA
  • Analyze contractual documents to ensure accuracy of key contract data elements, monitor contract performance.
  • Perform OIG/SAM exclusion inspection to ensure vendors are not on the Federal Exclusion list.
  • Provide internal customer and user support.
  • Assisted in the development of NPCM process, Emptoris fields, notifications, related definitions and upgrades.
  • Contributed in the development of IT, Regulatory and internal contract processes.
  • Ensure compliance of contracts while maintaining consistency with internal business practices.
  • Worked on analyzing data needs, identifying relational databases and coordinating the modeling.
  • Perform testing with Emptoris software, coordinate problem resolutions with system administrator.
  • Prioritized outstanding defects and system problems, ensuring accuracy and deadlines were met.
Paralegal 10/2010 to 01/2012 Poole Mahoney, P.C. Virginia Beach, VA
  • Drafted and proofread complex correspondence and legal documents in an accurate and timely manner relating to collections, estate planning and domestic relations matters.
  • Organized and maintain client and firm files in accordance with firm procedures.
  • Recorded and maintained time entries for client billing purposes.
  • Handled mailing of attorney's monthly bills in accordance with firm procedures.
  • Filed pleadings with court clerk.
  • Acted as a liaison between the attorney and clients.
Review Credentialing Specialist, III 10/2006 to 10/2010 ValueOptions, Inc Virginia Beach, VA
  • Acted as a liaison between credentialing, provider contracting and other internal departments to resolve issues and answer questions related to provider contracts in a timely and efficient manner.
  • Provided assistance to both contracted and non-contracted providers by answering questions and resolving issues relating to provider contracting operations and/or contract language and compensation.
  • Cleansed and verified the accuracy of all contracts and fee schedules.
  • Resolved issues relating to contracting, including claims payment, system maintenance and other related provider needs.
  • Reviewed provider files for appropriate documentation required for the credentialing process.
  • Point of contact to resolve a multitude of issues for providers and/or office personnel.
  • Researched data to answer inquires and input responses in system.
  • Maintained a thorough knowledge of ValueOptions and current NCQA standards for Managed Behavioral Healthcare Organizations.
  • Assisted staff on daily functions and processes and provide coaching related to their particular job function.
  • Managed all facility files in a paperless environment.
Paralegal/Office Manager 10/2002 to 02/2005 McGowan & Singleton, PC Virginia Beach, VA
  • Drafted legal documents in civil, criminal, family law, personal injury and real estate matters.
  • Researched and analyzed law sources such as statutes and legal codes.
  • Filed pleadings with court clerk.
  • Interviewed clients for case intake.
  • Acted as a liaison between the attorney, clients, health care providers and insurance carriers.
  • Ensured proper communication and satisfaction of deadlines through execution of dated correspondence.
  • Proofread and edited documents.
  • Closely monitored and reviewed case status and deadlines.
  • Maintained files and delegated task.
  • Handled routine bookkeeping and timekeeping.
  • Notarized legal documents.
Education
Bachelor of Arts: Paralegal Studies 12/2014 Hampton University Hampton, VA
Associates: Applied Science; Paralegal Studies 5/2003 Bryant and Stratton College Virginia Beach, VA
Skills

draft legal documents, contract administrations, regulatory compliance, project management,

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Resume Overview

Companies Worked For:

  • Anthem
  • Amerigroup, Inc
  • Poole Mahoney, P.C.
  • ValueOptions, Inc
  • McGowan & Singleton, PC

School Attended

  • Hampton University
  • Bryant and Stratton College

Job Titles Held:

  • Contract Admin Analyst
  • Non-Provider
  • Paralegal
  • Review Credentialing Specialist, III
  • Paralegal/Office Manager

Degrees

  • Bachelor of Arts : Paralegal Studies 12/2014
    Associates : Applied Science; Paralegal Studies 5/2003

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