Contract Configuration Specialist

Job Summary

A company is looking for a Contract Configuration Specialist to manage contract loading and configuration in their Claims and Provider Services systems.

Key Responsibilities

• Load and configure provider, facility, and ancillary contracts within the Claims and Provider Services systems
• Coordinate with Network Management to ensure contract language aligns with system capabilities
• Analyze executed contracts for best practices and review non-standard contract terms for compliance

Required Qualifications

• Bachelor's Degree in Business Operations, Information Systems, or related field
• 3-5 years of relevant experience in a healthcare environment
• Experience with claims system programming
• Knowledge of medical terminology, fee schedules, and CMS codes
• Experience with Zellis, Visium, and PayerCompass is highly preferred