Contract Implementation Analyst

Job not on LinkedIn

🔥 45 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $23 - $39 / hour

⏰ Full Time

🟢 Junior

🧐 Analyst

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Perform day-to-day duties and testing of contract implementation, including UAT • Audit provider setup within the provider information system • Review and price contract-related pends to ensure claims payment accuracy • Ensure accurate contract implementation and claims processing through provider setup and UAT testing on basic Change Requests • Troubleshoot and resolve contract implementation issues related to basic system configuration • Review contracts and assign pay classes and applicable provider information based on contract language • Assist with internal communication of new and revised material contract terms and provisions • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor’s degree in Business, Finance, related field, or equivalent experience • 1+ years of provider contract implementation, contract analysis or claims analysis experience in managed care, health care or TPA setting • Government programs and Amisys experience preferred • Ability to work Eastern Time Zone business hours • Occasional travel in Pennsylvania required • Knowledge of provider setup, contract implementation, UAT testing, claims processing, contract analysis, or claims analysis

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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