Centene Corporation

Contract Implementation Analyst

Centene Corporation

full-time

Posted on:

Location Type: Hybrid

Location: Baton Rouge • Louisiana • United States

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Salary

💰 $23 - $40 per hour

Job Level

Junior

About the role

  • Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a contract's negotiated terms
  • 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)
  • 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
  • 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
  • Participate in determining the appropriate configuration of the claims payment process

Requirements

  • 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.
Benefits
  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
contract implementationUAT testingclaims processingcontract analysisprovider setupauditingtroubleshootingproblem solvingpricing contracts
Soft Skills
communicationorganizational