Contract Specialist

AmeriHealth Caritas; Philadelphia (Philadelphia County); Remote; USD 55,000 - 75,000; Full time

Job summary

Join a leading healthcare organization as a Contract Specialist, where you'll connect teams and maintain contract data accuracy. In this role, you'll proactively resolve issues and build relationships, contributing to efficient contract administration within the organization. Enjoy flexible remote work options and a supportive company culture focused on inclusivity and equity.

Benefits

Flexible work solutions

Health insurance coverage from Day 1

401(k) tuition reimbursement

Qualifications

• 1-2 years of experience in provider network management or contract administration.
• Experience with contracting software such as Portico or Salesforce.
• 1-2 years of Medicaid experience is mandatory.

Responsibilities

• Build and maintain positive relationships with stakeholders and team members.
• Ensure accuracy of contract data and documents across systems.
• Act proactively in resolving contract administration issues.

Skills

Attention to detail

Communication

Relationship management

Education

High School/GED

Bachelor’s degree

Tools

Contracting software

Job description

Your career starts now. We’re looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com

Role Overview: The Contract Specialist connects our team, the health plan, and key stakeholders. In this role, you’ll help build and maintain strong, collaborative relationships while ensuring that all contract data and documents are accurately reflected across our systems. You’ll also take a hands-on approach to contract administration—proactively identifying and resolving any issues that arise during the contract loading process. Your attention to detail and commitment to clear communication will help keep everything running smoothly and efficiently.

Work Arrangement:

• Remote - Associate can work remotely anywhere in the United States

Responsibilities:

• Build and maintain positive relationships with the team, Plan, and stakeholders.
• Ensure contract data and documents are accurately represented in operating systems.
• Act as a proactive contract administrator, resolving contract administration issues.
• Audit contract documents and provider records for accuracy.
• Manage and monitor Excel reports for projects and assignments.
• Align and create contract records in the contract management system with 95% accuracy.
• Monitor electronic contract files and ensure compliance with policies.
• Escalate requests that contradict business processes or contract language.
• Support various departments in investigating provider data and credentialing.
• Research and resolve conflicting data and documents.
• Identify and report compliance issues.
• Maintain knowledge of Facets or other claims systems and relay contract corrections.
• Communicate effectively and professionally with all parties.
• Collaborate with departments to execute AmeriHealth and Plan strategies.
• Perform administrative duties and attend required training sessions.
• Stay updated on AmeriHealth, Plan regulations, policies, and procedures.

Education & Experience:

• High School/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.
• Experience with contracting software (e.g., Portico, McKesson, Conga, Salesforce).
• 1 to 2 years of Medicaid experience is required.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays, volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.