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AmeriHealth Caritas · 1 day ago

Contract Specialist

United States

Full-time, Contract

Remote

Entry Level

1+ years exp

AmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive health care solutions. The Contract Specialist will connect teams, health plans, and stakeholders while ensuring accurate contract data and compliance standards.

Health CareInformation Technology

Responsibilities

Build and maintain positive relationships with internal teams, health plans, and stakeholders

Ensure contract data and documents are accurately represented in operating systems

Act as a proactive contract administrator, resolving contract-related issues

Audit contract documents and provider records for accuracy

Manage and monitor Excel reports for projects and assignments

Create and align contract records in the contract management system with 95% accuracy

Monitor electronic contract files and ensure compliance with policies

Escalate requests that conflict with business processes or contract language

Support departments in investigating provider data and credentialing

Research and resolve discrepancies in data and documentation

Identify and report compliance issues

Maintain knowledge of Facets or other claims systems and communicate contract corrections

Communicate effectively and professionally with all parties

Collaborate with departments to execute AmeriHealth and health plan strategies

Perform administrative duties and attend required training sessions

Stay current on AmeriHealth and health plan regulations, policies, and procedures

Qualification

Contract managementHealthcare experienceContracting softwareProvider network managementCommunication skills

Required

High School diploma or GED required

1–2 years of experience in provider network management, finance operations, contract management, or contract administration within healthcare or managed care

1–2 years of managed care experience required