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Transforming the health of the communities we serve, one person at a time.
Manager, Claims & Contract Support Services
Location
Louisiana
Posted
90 days ago
Salary
$87.7K - $157.8K / year
Seniority
Senior
Job Description
Manager, Claims & Contract Support Services
Centene Corporation
• Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams • Oversee the claims operation function, including contracting and configuration • Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues • Provide management with necessary data to expedite resolution of claims issues and support in policy decisions related to claims operations • Serve as the subject matter expert in resolution of claims and configuration issues • Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts • Act as health plan interface on software product upgrades/implementations that affect contract implementation • Promote change through establishment and sharing of best practices • Interface with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations
Job Requirements
- Bachelor’s degree in related field or equivalent experience
- 5+ years of provider relations/services, provider contracting and/or claims administration experience in a managed care environment
- Experience with Medicare and Medicaid claims and contracting preferred
- Experience in Amisys and DST strongly preferred
- Prior leadership experience highly preferred.
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Regulatory Affairs Group Job Sub Function: Regulatory Affairs Job Category: Professional All Job Posting Locations: Danvers, Massachusetts, United States of America, Remote (US) Job Description: About Cardiovascular Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that’s reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. 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