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Senior Contract Specialist (Configuration) - Remote
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Job Description
- Req#: 1000002371
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work collaboratively with various teams to influence provider reimbursement processes
- Engage in impactful work that directly affects healthcare contract management
- Supportive and innovative work environment that values expertise and input
- Chance to develop specialized knowledge in contract configuration and reimbursement methodologies
What to Expect (Job Responsibilities):
- Manage all aspects of provider, facility, and ancillary rate configurations within NetworX, ensuring accuracy and adherence to deadlines
- Collaborate with Network Management and Analytics to capture negotiated contractual agreements effectively
- Identify and rectify rate load issues to maintain data integrity
- Analyze contracts to ensure alignment with reimbursement structures and negotiated intent
- Coordinate with Network Management for timely updates on evergreen contracts
What is Required (Qualifications):
- B.S. degree in Business Operations, Information Systems, or a related field
- 3-5+ years of relevant experience, preferably in a healthcare environment
- Strong familiarity with healthcare claims systems and related applications
- Experience with provider, facility, and ancillary contract file setups, maintenance, and auditing
- Excellent knowledge of medical terminology, fee schedules, and coding systems (ICD/CPT/HCPCS)
How to Stand Out (Preferred Qualifications):
- Additional experience or specialized training may be considered in lieu of educational requirements
- Understanding of government reimbursement methodologies
- Strong attention to detail and problem-solving skills
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams, SharePoint)
#HealthcareServices #ContractManagement #CareerOpportunity #HealthcareReimbursement #AnalyticalSkills
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