Claims and Contract Manager

Job Summary

A company is looking for a Manager, Claims & Contract Support Services to oversee the operation of the Contract Implementation Analyst and Claims Liaison teams.

Key Responsibilities

• Oversee the claims operation function, including contracting and configuration
• Monitor staff performance to identify process or quality gaps and develop business solutions
• Provide management with data to expedite resolution of claims issues and support policy decisions

Required Qualifications

• Bachelor's degree in a related field or equivalent experience
• 5+ years of experience in provider relations/services, provider contracting, and/or claims administration 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