Senior Contract Specialist (Configuration) - Remote

Talentify.io; United States; Remote; USD 56,000 - 150,000; Full time

Job summary

A leading company in Healthcare Services is searching for a Senior Contract Specialist (Configuration) to work remotely. This role offers the chance to engage in impactful work affecting healthcare contract management, with responsibilities that include managing rate configurations and collaborating with various teams. Candidates should possess a B.S. degree and several years of relevant experience in a healthcare environment.

Benefits

Opportunity for career advancement and growth within the organization

Supportive and innovative work environment

Chance to develop specialized knowledge in contract configuration

Qualifications

• 3-5+ years of relevant experience, preferably in a healthcare environment.
• Strong familiarity with healthcare claims systems and related applications.
• Excellent knowledge of medical terminology, fee schedules, and coding systems (ICD/CPT/HCPCS).

Responsibilities

• Manage all aspects of provider, facility, and ancillary rate configurations within NetworX.
• Analyze contracts to ensure alignment with reimbursement structures.
• Identify and rectify rate load issues to maintain data integrity.

Skills

Attention to Detail

Problem-solving

Healthcare Claims Systems

Education

B.S. degree in Business Operations, Information Systems, or related field

Tools

Microsoft Office Suite

Job description

Senior Contract Specialist (Configuration) - Remote

Senior Contract Specialist (Configuration) - Remote

1 week ago Be among the first 25 applicants

• 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
  
  

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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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  Staffing and Recruiting

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