Centene

Contract Implementation Analyst

Centene

5300 Homestead Rd NE, Albuquerque, NM 87110, USA
Full-TimeDepends on ExperienceEntry LevelBachelors
Job Description

Perform audits of provider setup within the provider information system to ensure accurate contract implementation and subsequent claims processing Review and price contract related pends to ensure claims payment accuracy Ensure accurate contract implementation and subsequent claims processing through provider setup, UAT testing, etc. on basic Change Requests (CRs) (i.e.RHCs/FQHCs/fee schedule updates). Troubleshoot and problem solve contract implementation issues related to basic system configuration Review contracts and assign pay classes and applicable provider information based on contract language. If configuration is needed to accommodate a contract, notify the appropriate parties. Assist with the internal communication of all new and revised material contract terms and provisions to all affected departments. Review new and current provider contracts and established state guidelines

Where is this job?
This job is located at 5300 Homestead Rd NE, Albuquerque, NM 87110, USA
Job Qualifications
  • 1+ years of provider contract implementation experience

  • Government programs and Amisys experience preferred.

  • Experience in managed care, health care or TPA setting.

Required Skills
  • Time Management

  • Contract analysis

  • Record Keeping Skills

  • Claims analysis

Soft Skills
  • Verbal communication

  • written communication

  • Adaptability

  • Detail Oriented and Organized

  • Multi-tasker

Compensation

According to JobzMall, the average salary range for a Contract Implementation Analyst in 5300 Homestead Rd NE, Albuquerque, NM 87110, USA is $39,000 to $68,000 per year.

Additional Information
Centene is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedSeptember 24th, 2020
Apply BeforeMay 22nd, 2025
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About Centene

Centene Corporation is a large publicly traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs.

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