
Contract Implementation Analyst
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
1+ years of provider contract implementation experience
Government programs and Amisys experience preferred.
Experience in managed care, health care or TPA setting.
Time Management
Contract analysis
Record Keeping Skills
Claims analysis
Verbal communication
written communication
Adaptability
Detail Oriented and Organized
Multi-tasker
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.
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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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