Centene Corporation Senior Contract Implementation Analyst in Clayton, Missouri

ProfessionalPosition Purpose: Perform day to day duties and testing of complex contract implementation, including UAT to ensure systems accurately reflect a contract’s negotiated terms. Assist with implementation of provider contracts.

  • 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

Education/Experience: Bachelor’s degree in Business, Finance, 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.

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: Senior Contract Implementation Analyst

LOCATION: Clayton, Missouri

REQNUMBER: 1104813

COMPANY: Network Development & Contracting

POSITION TYPE: Professional