Provider Contract Configuration Specialist

Position PurposeConfiguration and maintenance of provider contracts and benefitsResponsibilitiesConfigure and load provider contractsMaintain provider rostersMaintain Provider Directory dataTest provider contract and fee-schedulesReview provider data integrity reportsResolve claims related ticketsTrain system usersMeet performance goals as established for the positionPerform additional duties and responsibilities as assigned by managementQualificationsExperience in Medicare Advantage Plan, managed care or healthcare environment at largeExperience with provider contract configuration and claims processingKnowledge of PCP, specialist, hospital and ancillary contractsAnalytical and critical thinking skillsAbility to manage priorities and execute tasks in a high-pressure environmentComputer literacy: MS Excel, MS Word and MS PowerPointBachelor's degree preferred; an equivalent combination of education and experience will be consideredNote: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.