Contract Specialist

Contract Specialist

18 Jan 2024
California, Goldriver 00000 Goldriver USA

Contract Specialist

Vacancy expired!

Our client, a large, multi-line managed care enterprise, is currently seeking a Contract Specialist for a 3 month temporary to permanent position . Candidate needs to be local to Rancho Cordova, CA.By working for our client, you will be exposed to a large company listed on the NYSE, work for a leader in a fast-paced corporate environment and be an integral part to the Vendor Manager Team.In addition to working with the world’s most recognized and trusted name in staffing, Kelly employees can expect:Competitive pay

Paid holidays

Year-end bonus program

Recognition and incentive programs

Access to continuing education via the Kelly Learning Center

The hours and pay for this position are as follows:Monday – Friday – 8AM-5PM

Pay: $25-30/hr

POSITION SUMMARY:Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a contract s negotiated terms

Perform audits of provider setup within the provider information system to ensure accurate contract implementation and subsequent claims processing

Review and price contract related pends to ensure claims payment accuracy

Ensure accurate contract implementation and subsequent claims processing through provider setup, UAT testing, etc. on basic Change Requests CRs i.e. RHCs/FQHCs/fee schedule updates

Review contracts and assign pay classes and applicable provider information based on contract language

Assist with the internal communication of all new and revised material contract terms and provisions to all affected departments

Review new and current provider contracts and established state guidelines

Required Experience:Bachelor s degree in Business, Finance, related field, or equivalent experience

1+ years of provider contract implementation, contract analysis or claims analysis experience in managed care, health care or TPA setting

Government programs and Amisys experience preferred

Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. If you have questions about the position or are interested please email a word copy of your resume to kaif941@kellyservices.com Why Kelly ® ?You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.About Kelly ®At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.

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