Contract Implementation Analyst

Job Summary

A company is looking for a Contract Implementation Analyst to perform day-to-day duties and testing of contract implementation.

Key Responsibilities

• Conduct quality checks and audits to ensure accurate contract implementation and claims processing
• Assist in the development of tools to streamline the contract implementation process
• Review contracts and configure claims payment processes in collaboration with internal teams

Required Qualifications

• Bachelor's degree in Business, Finance, or a related field, or equivalent experience
• 1+ years of provider contract implementation, contract analysis, or claims analysis experience
• Knowledge of healthcare coding (ICD, CPT, HCPCS) and payer-specific rules
• Experience in managed care, healthcare, or TPA settings
• Government programs and Amisys experience preferred