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Centene Corporation Supervisor, Contract Implementation in Des Moines, Iowa

Position Purpose:

Oversee the implementation all provider contracts, including any pertinent changes and modifications applicable to these contracts.

  • Oversee the internal audits of contracts and related files to ensure compliance with corporate standards related to contracts and their implementation

  • Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts

  • Participate in provider contracting activities to minimize contract implementation issues/errors

  • Ensure that all questions regarding implementation and claims accuracy issues are addressed and resolved

  • Assess state changes in reimbursement and/or benefits and request appropriate changes to configuration to correctly & timely implement these changes

  • Ensure accurate contract implementation and subsequent claims processing through post production audits of claims payment, provider setup, and UAT testing

  • Develop, communicate, implement and maintain production and quality standards

Education/Experience:

Bachelor’s degree in Business, Finance, related field or equivalent experience. 4+ years of provider contract implementation, contract analysis, or claims payment system experience in managed care, health care, or TPA setting. Working knowledge of rate methodology and contract language. Must possess strong problem solving and analytical skills. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. Government programs experience preferred. Advanced Excel skills preferred.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

TITLE: Supervisor, Contract Implementation

LOCATION: Des Moines, Iowa

REQNUMBER: 1201183

COMPANY: Business Dev & Sales

POSITION TYPE: Both

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