Centene Corporation

Centene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time.

Manager, Claims & Contract Support Services

ManagerManagerFull TimeRemoteTeam 10,001Company Site

Location

Louisiana

Posted

23 hours ago

Salary

$87.7K - $157.8K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams • Oversee the claims operation function, including contracting and configuration • Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues • Provide management with necessary data to expedite resolution of claims issues and support in policy decisions related to claims operations • Serve as the subject matter expert in resolution of claims and configuration issues • Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts • Act as health plan interface on software product upgrades/implementations that affect contract implementation • Promote change through establishment and sharing of best practices • Interface with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations

Job Requirements

  • Bachelor’s degree in related field or equivalent experience
  • 5+ years of provider relations/services, provider contracting and/or claims administration experience in a managed care environment
  • Experience with Medicare and Medicaid claims and contracting preferred
  • Experience in Amisys and DST strongly preferred
  • Prior leadership experience highly preferred.

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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