Contract Configuration Specialist

A company is looking for a Contract Configuration Specialist to manage contract loading and configuration in their Claims and Provider Services systems. Key Responsibilities Load and configure provider, facility, and ancillary contracts within the Claims and Provider Services systems Coordinate with Network Management to ensure contract language aligns with system capabilities Analyze executed contracts for best practices and review non-standard contract terms for compliance Required Qualifications Bachelor's Degree in Business Operations, Information Systems, or related field 3-5 years of relevant experience in a healthcare environment Experience with claims system programming Knowledge of medical terminology, fee schedules, and CMS codes Experience with Zellis, Visium, and PayerCompass is highly preferred

May 30, 2025 - 20:20
 0
Contract Configuration Specialist
A company is looking for a Contract Configuration Specialist to manage contract loading and configuration in their Claims and Provider Services systems. Key Responsibilities Load and configure provider, facility, and ancillary contracts within the Claims and Provider Services systems Coordinate with Network Management to ensure contract language aligns with system capabilities Analyze executed contracts for best practices and review non-standard contract terms for compliance Required Qualifications Bachelor's Degree in Business Operations, Information Systems, or related field 3-5 years of relevant experience in a healthcare environment Experience with claims system programming Knowledge of medical terminology, fee schedules, and CMS codes Experience with Zellis, Visium, and PayerCompass is highly preferred