Manager, Claims & Contract Support Services
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Louisiana • United States
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Salary
💰 $87,700 - $157,800 per year
About the role
- Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams
- Oversee the claims operation function, including contracting and configuration
- Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues
- Provide management with necessary data to expedite resolution of claims issues and support in policy decisions related to claims operations
- Serve as the subject matter expert in resolution of claims and configuration issues
- Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts
- Act as health plan interface on software product upgrades/implementations that affect contract implementation
- Promote change through establishment and sharing of best practices
- Interface with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations
Requirements
- Bachelor’s degree in related field or equivalent experience
- 5+ years of provider relations/services, provider contracting and/or claims administration experience in a managed care environment
- Experience with Medicare and Medicaid claims and contracting preferred
- Experience in Amisys and DST strongly preferred
- Prior leadership experience highly 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
claims administrationprovider contractingcontract implementationdata analysisbusiness solutions developmentworkflow managementprocess improvementquality assurance
Soft Skills
leadershipcommunicationinterpersonal skillsproblem-solvingchange management