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Senior Contract Implementation Analyst

St. Louis, MO 63105

Posted: 01/18/19 Industry: Human Resources Representative Job Number: 48353

HireLevel is seeking a Senior Contract Implementation Analyst in Clayton, MO. Our client is a fortune 500 company who is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government sponsored healthcare programs; including a variety of insurance solutions. The Senior Contract Implementation Analyst will perform day to day duties and testing of complex contract implementation, including UAT to ensure systems accurately reflect a contract s negotiated terms. Will also assist with implementation of provider contracts.

Position: Direct Hire

Salary: Competitive with full benefit package included

Location: Clayton, MO

Responsibilities of the Senior Contract Implementation Analyst:
  • Design new or non-standard configuration of complex contracts, and state benefit/pricing changes
  • Monitor state bulletins and banners to ensure timely, accurate submission and implementation of benefit and/or rate changes
  • Collaborate with internal audit team to correct identified configuration errors
  • Collaborate with internal contracting or configuration to troubleshoot and problem solve complex contract implementation issues
  • Develop, communicate, implement and maintain production and quality standards
  • Review new and current provider contracts and established state guidelines
  • Determine the appropriate configuration of the claims payment process in the appropriate subsystem of the claims payment information system in conjunction with health plan, claims and corporate management and information systems staff

Requirements of the Senior Contract Implementation Analyst:
  • Bachelor s degree in related field or equivalent experience.
  • 3+ years of provider contract implementation, contract analysis or claims analysis experience in managed care, health care or TPA setting
  • Understanding of rate methodology and contract language
  • Strong problem solving and analytical skills
  • Government programs and Amisys experience preferred

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