Centene Corporation Manager, Claims & Contract Support Services in Baton Rouge, Louisiana
ProfessionalPosition Purpose: 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
Education/Experience: 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.
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: Manager, Claims & Contract Support Services
LOCATION: Baton Rouge, Louisiana
COMPANY: Claims Operations
POSITION TYPE: Professional