Contract Implementation Analyst

Job Summary

Working remotely on a full-time basis, the Contract Implementation Analyst will perform day-to-day duties and testing of contract implementation, including UAT, to ensure systems accurately reflect negotiated contract terms.

Key responsibilities:

• Perform audits of provider setup within the provider information system to ensure accurate contract implementation and claims processing
• Review and price contract-related pends to ensure claims payment accuracy
• Troubleshoot contract implementation issues related to basic system configuration and assist with internal communication of new and revised contract terms

Required qualifications:

• Bachelor's degree in Business, Finance, or a related field, or equivalent experience
• 1+ years of experience in provider contract implementation, contract analysis, or claims analysis in managed care, healthcare, or TPA settings
• Experience with government programs and Amisys is preferred
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship
• Ability to work Eastern Time Zone business hours and occasional travel in Pennsylvania may be required