Remote Contracts & Network Configuration Lead

SCAN Health Plan; Lakewood (CA); Remote; USD 92,000 - 134,000; Full time

Benefits offered by this job

Mostly Remote

Annual bonus

PTO

401(k) match

Tuition reimbursement

Job summary

SCAN Health Plan is seeking a Configuration Program Lead - Contracts to manage complex contract configuration initiatives, including DOFR and NCN, translating terms into precise system settings and coordinating testing and deployment.

You will collaborate with Legal, Compliance, IT, Network Management, and Claims to ensure compliant configurations, governance, and opportunities for process improvements and automation.

Qualifications

• Bachelor's degree or equivalent experience.
• 5 years of experience in healthcare payer operations, provider contract administration, or related field.
• Experience translating contractual requirements into system configuration and coordinating testing and implementation.

Responsibilities

• Lead configuration activities for contract-related requirements (DOFR, NCN).
• Interpret contract terms and translate into accurate system configuration and business rules.
• Coordinate implementation, validation, testing, and issue resolution for new or modified configurations.
• Partner with Network Management, Provider Operations, Claims, Legal, Compliance, IT and other teams to resolve discrepancies.
• Maintain governance, documentation, controls and change-management processes for contract configuration.
• Identify configuration risks and opportunities for automation and standardization.

Skills

SQL

Visio

Microsoft Office

Healthcare payer ops

Contract admin

Education

Bachelor's Degree

Job description

SCAN Health Plan is seeking a Configuration Program Lead - Contracts to manage complex contract configuration initiatives, including DOFR and NCN, translating terms into precise system settings and coordinating testing and deployment.

You will collaborate with Legal, Compliance, IT, Network Management, and Claims to ensure compliant configurations, governance, and opportunities for process improvements and automation.