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Contract Implementation Analyst
Centene Corporation. Perform day-to-day duties and testing of contract implementation, including UAT .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider contract implementation, claims processing, and UAT testing, ensuring accuracy in contract-related activities and compliance with policies. Strong analytical skills in contract analysis and claims analysis within managed care or healthcare settings are essential.
Highest-signal resume keywords
Provider Contract ImplementationClaims ProcessingUAT TestingContract AnalysisGovernment Programs Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract ImplementationClaims AnalysisProvider SetupUAT TestingContract ReviewClaims Payment AccuracyTroubleshootingSystem ConfigurationPricing ContractsChange Requests
Tools & Technologies
Provider Information SystemAmisys
Industry Keywords
Managed CareHealthcareTPA SettingContract TermsCompliance
About the role
Key responsibilities & impact- Perform day-to-day duties and testing of contract implementation, including UAT
- Audit provider setup within the provider information system
- Review and price contract-related pends to ensure claims payment accuracy
- Ensure accurate contract implementation and claims processing through provider setup and UAT testing on basic Change Requests
- Troubleshoot and resolve contract implementation issues related to basic system configuration
- Review contracts and assign pay classes and applicable provider information based on contract language
- Assist with internal communication of new and revised material contract terms and provisions
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor’s degree in Business, Finance, related field, or equivalent experience
- 1+ years of provider contract implementation, contract analysis or claims analysis experience in managed care, health care or TPA setting
- Government programs and Amisys experience preferred
- Ability to work Eastern Time Zone business hours
- Occasional travel in Pennsylvania required
- Knowledge of provider setup, contract implementation, UAT testing, claims processing, contract analysis, or claims analysis
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity