Contract Implementation Analyst

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Conduct daily tasks and oversee the testing of contract implementation, which includes User Acceptance Testing (UAT).

• Audit the provider setup within the provider information management system.

• Evaluate and price contract-related pending items to ensure the accuracy of claims payments.

• Guarantee precise contract implementation and claims processing through provider setup and UAT testing on fundamental Change Requests.

• Identify and resolve issues related to contract implementation associated with basic system configuration.

• Analyze contracts and allocate pay classes as well as relevant provider information in accordance with contract language.

• Facilitate internal communication regarding new and updated material contract terms and provisions.

• Execute additional tasks as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• Must possess authorization to work in the U.S. without requiring employment-based visa sponsorship, either currently or in the future.

• Bachelor’s degree in Business, Finance, a related field, or equivalent professional experience.

• At least 1 year of experience in provider contract implementation, contract analysis, or claims analysis within managed care, healthcare, or TPA environments.

• Experience with government programs and Amisys is preferred.

• Must be able to work during Eastern Time Zone business hours.

• Some travel within Pennsylvania is required.

• Familiarity with provider setup, contract implementation, UAT testing, claims processing, contract analysis, or claims analysis.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off along with holidays.

• Flexible options for remote, hybrid, field, or office work schedules.

• Additional forms of incentives may be included in total compensation.

• Equal opportunity employer dedicated to diversity.