Senior Contract Specialist (Configuration) - Remote

Job title: Senior Contract Specialist (Configuration) - Remote in reputed company, NY at reputed company Company: reputed company Job description: Summary of JobResponsible for timely and accurate load of reputed company Professional, Facility, and Ancillary reputed company across reputed company reputed company lines of business. Serve as a subject matter expert in reputed company areas of contract configuration, fee schedules/groupers, and reputed company reimbursement. reputed company workflows and business processes to ensure efficient interaction with Network Development, Analytics, and other business areas to facilitate accurate translation and maintenance of contractual agreements into NetworX. Serve as the subject matter expert in NetworX.Responsibilities:

• Responsible for reputed company aspects of provider, facility, and ancillary reputed company configurations reputed company NetworX in accordance with set deadlines, while ensuring full accuracy of contract loads.
• Collaborate with Network Management and Analytics to ensure proper capture of negotiated and modeled contractual agreements.
• Responsible for the identification and correction of reputed company load problems.
• Serve as a subject matter expert with reputed company contract configuration, fee schedule / grouper, and reputed company reimbursement matters.
• Analyze negotiated reputed company to determine NetworX interaction with the core systems, ensuring that reimbursement is in line with negotiated reputed company.
• Coordinate with Network Management to ensure timely update of reputed company reputed company reputed company.
• Recommend contract language changes to align with system reimbursement capabilities.
• Coordinate with reputed company EmblemHeatlh towers on reputed company NetworX issues.

Qualifications:

• B. S. degree in Business Operations, Information Systems or reputed company
• 3 – 5+ years of relevant experience, preferably in a health care environment (Required)
• Additional experience or specialized training may be considered in lieu of educational requirements (Required)
• Strong familiarity with reputed company’s claims systems and interdependent applications (Required)
• Experience in provider, facility, and ancillary contract files set-reputed company, maintenance, testing and auditing functions (Required)
• Experience in establishing and accomplishing business strategies to successfully translate contractual language into system reimbursement specifications (Required)
• Excellent knowledge of medical terminology, Fee Schedules, and ICD/CPT/HCPCS coding (Required)
• Understanding of Government reimbursement methodologies (Required)
• Strong attention to detail; strong organizational, analytic, technical, and problem-solving skills (Required)
• Proficient with MS Office (Word, reputed company, PowerPoint, Outlook, Teams, SharePoint, etc.) (Required)
• Strong communication skills (verbal, written, presentation, interpersonal) with reputed company types/levels of audiences (Required)

Additional Information

• Requisition ID: 1000002371
• Hiring Range: 56,160-99,360

reputed company DisclosureIf you receive a job offer from reputed company, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) - Please respond online.” We will never ask you to join a reputed company Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like reputed company or Gmail.Pay DisclosureAt reputed company, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn't account for geographic differences reputed company to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at reputed company, where your contributions are valued and supported by fair compensation.EEOC StatementWe value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider reputed company qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national reputed company, disability, veteran status, or any other protected characteristic protected by law.Sponsorship Statementreputed company may provide work reputed company sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations. Expected salary: $56160 - 99360 per year Location: reputed company, NY Apply for the job now! Apply for this job