Contracting Supervisor

Regular
Exempt

GENERAL DESCRIPTION:
Administers, manages, and monitors the operation of the Contracting area to guarantee compliance with organizational goals, following the applicable regulations for each line of business and the contracting and credentialing policy. Oversee the operation and experience of contracting end-to-end Providers and determine if inventory action plans are necessary.
ESSENTIAL FUNCTIONS:
• Continuously monitors trends in provider contracting requests and prepares presentations for discussion with management.
• Develops and maintains updated policies and procedures for the contracting unit, ensuring compliance with laws and regulations relevant to each line of business.
• Implements necessary actions to ensure alignment with the goals and objectives of the unit, including the adequacy goals of the Provider Network.
• Evaluates and monitors provider networks by specialty and geographic area to guarantee access to all services covered by our products across all lines of business. Additionally,



makes recommendations regarding the inclusion or elimination of medical specialties, as recognized by established agencies and accrediting boards, including recommendations concerning the pricing system.
• Addresses requests for rate increases from providers, provides solutions, and keeps detailed records of all related documentation.
• Establish monitoring mechanisms to ensure that the welcome letter and a copy of the contract are sent promptly to newly contracted providers.
• Ensure that all provider contracts and communications are properly digitized in the system.
• Supervises the team in continuously evaluating and monitoring the provider network contracting process, defining mechanisms to ensure that information in the systems and provider files is current, and that established timeframes are adhered to.
• Evaluates and analyzes production reports related to the quality of the initial contracting process and the maintenanc

📌 Contracting Supervisor (San Juan)
🏢 MCS Healthcare Holdings, LLC (MCS)
📍 San Juan