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Job Description
- Req#: 43736
Employer Industry: Healthcare Solutions
Why consider this job opportunity:
- Competitive pay with a comprehensive benefits package
- Flexible work solutions, including remote options
- Paid time off and holidays, along with volunteer events
- Health insurance coverage for you and your dependents starting on Day 1
- Opportunity for career advancement within a mission-driven organization
- Chance to make a positive impact on the lives of millions through integrated managed care products
What to Expect (Job Responsibilities):
- Build and maintain positive relationships with the team, health plan, and stakeholders
- Ensure contract data and documents are accurately represented in operating systems
- Act as a proactive contract administrator, resolving issues related to contract administration
- Audit contract documents and provider records for accuracy
- Monitor electronic contract files and ensure compliance with policies
What is Required (Qualifications):
- Must be bilingual in Spanish
- High School Diploma or GED required; bachelor's degree preferred
- 1 to 2 years of experience in provider network management, finance operations, contract management, or contract administration in a healthcare or managed care organization
- 1 to 2 years of Medicaid experience is required
- Experience with contracting software (e.g., Portico, McKesson, Conga, Salesforce)
How to Stand Out (Preferred Qualifications):
- Familiarity with claims systems such as Facets
- Strong attention to detail and commitment to clear communication
- Experience managing Excel reports for projects and assignments
- Ability to research and resolve conflicting data and documents
- Knowledge of business processes and compliance issues
#Healthcare #ManagedCare #ContractAdministration #RemoteWork #CareerOpportunity
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