Provider Contract Implementation Specialist I

Company Name:
Health Care Svc Corp
BASIC FUNCTION: This position is responsible for reviewing non-standard contracts for system capacity, implementing and auditing contract completion, handling contract inquiries by conducting research and coordination through various departments in resolution and responding to inquiries, conducting contract analysis and modeling, conducting quality control and analysis of quality reporting, and preparing quality improvement recommendations.
1) Four years experience working in a managed care/ healthcare environment.
2) Health care management database experience.
3) Experience in one or more of the following systems; Access, Blue Chip, Vistar, Terminal Emulator, Premier Pricing, and/or Premier Provider.
4) Knowledge of managed care products.
5) Knowledge of provider contracting.
6) Knowledge of CPT, HCPCS, ICD9,
7) Revenue code and/or DRG coding practices.
8) Project management experience.
9) Technical documentation skills.
10) Leadership skills.
11) Flexibility to meet deadlines in an environment of constantly changing priorities and workloads.
12) Analytical skills including modeling.
13) Verbal and written communications skills including interpersonal skills to work across the organization to resolve problems, responding to inquiries, compose procedure manuals and training materials, and to discuss business and technical aspects with all levels of management.
14) Knowledge with both mainframe and windows based applications.
15) PC skills including Microsoft Office with proficiency in Excel.
1) Bachelor degree
This position is located in Helena, MT.
Relocation is not provided at this time.
Sponsorship is not provided at this time. _Job ID #:_ 438777
Location: MT - Helena
Functional Area: Accounting/Finance
Department: MT - Provider Contract Mgt
Position Type: Full-Time Regular
Education Required: Bachelors Degree
Experience Required: At least 4 years
Relocation Provided:
Posting Expiration Date: May 16, 2014

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