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Golden Care

Contract Manager

Posted 20 days ago
Worldwide
2-5 years experience
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AI Summary

The Contract Manager oversees contracting and outreach operations, including referral processing, caregiver onboarding, and compliance tracking. They serve as the primary point of contact for program representatives while ensuring accurate documentation and system data entry.

The Contract Manager leads Golden Care's contracting and outreach operations across multiple programs, including CalAIM, HCBS, SCRC, SDRC, and future contracts. This role oversees referrals, caregiver onboarding, scheduling, visit verification, and compliance tracking for all contracted services.

The Contract Manager ensures timely referral processing, accurate data entry in WellSky, and effective communication with families, caregivers, referral partners, and program representatives. This position requires strong leadership and organizational skills and the ability to manage multiple priorities in a fast-paced environment.

Key Responsibilities

  • Manage and track incoming referrals across multiple contracted programs
  • Oversee creation and maintenance of accurate client and caregiver profiles in WellSky
  • Direct onboarding, scheduling, and care plan setup after authorization approval
  • Monitor referral and authorization status to ensure timely service initiation
  • Oversee daily Electronic Visit Verification (EVV) and resolution of flagged visits
  • Maintain accurate, complete, and audit-ready documentation
  • Serve as the main point of contact for program representatives and referral partners
  • Communicate with caregivers, families, and referral sources regarding services and updates
  • Track and report data related to referrals, onboarding, and program activity
  • Identify workflow issues and implement improvements
  • Support the pursuit and setup of new program contracts

Compliance & Documentation

  • Ensure all records meet program and regulatory requirements
  • Maintain audit-ready documentation for referrals, authorizations, and services
  • Monitor authorization expirations and ensure timely renewals
  • Adhere to HIPAA and data privacy standards

Performance Expectations

  • Timely processing of referrals and authorizations (target: 24 to 48 hours)
  • Accurate data entry and system compliance
  • Completion of EVV tasks daily
  • Timely onboarding and activation of caregivers and clients
  • Contract programs meet all reporting and audit requirements

Qualifications

  • 3 to 5 years of experience in healthcare administration, contracts, or outreach roles
  • Experience with WellSky, AlayaCare, HHAeXchange, or similar systems preferred
  • Proficiency in Microsoft 365 and Excel
  • Strong organizational, multitasking, and time management skills
  • Excellent verbal and written communication skills
  • Detail-oriented with strong compliance awareness
  • Ability to work independently and lead collaboratively

Preferred

  • Experience with CalAIM, HCBS, SCRC, SDRC, or similar programs
  • Familiarity with Medicaid waiver or home care services
  • Bilingual (Spanish, Arabic, Mandarin, or Tagalog)

How to Apply

Visit www.getgoldencare.com to learn more about Golden Care. Golden Care is an equal opportunity employer.

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