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Contracts Analyst / 495
| Details |
Country: USA
Location: Illinois-Chicago South Naperville, IL 60563
Total applied: 40 |
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Contracts Analyst / 495
Occupation:General/Other: Administrative/Clerical Position Description:The Contract Analyst is responsible for the adherence to and the effectiveness of network contracts. This position is also responsible for giving presentations and possessing technological knowledge.JOB RESPONSIBILITIES:1. Coordinate with other teams to ensure network implementations of the hospital or ancillary negotiated rates into the CNS repricing system.2. Ensure adherence to both CNS specific and customer specific policies and procedures when setting up the contracted/negotiated rates for each facility or hospital contract CNS loads.3. Ensure that production and quality standards are achieved when building the negotiated rates within the CNS system which are used for repricing.4. Use technology to facilitate the success of network repricing administration in regards to auto-ajudication.5. Assist in presentations to prospective clients by providing technical guidance and support as required.6. Responsible for the overall effectiveness of assigned network contracts.7. Demonstrate commitment to Viant core values.8. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.JOB SCOPE:The Contract Analyst relies on a broad base of knowledge of PPO and HMO network provider contracts and claims administration in order to accomplish the job responsibilities. The incumbent functions under general supervision and alternates between working independently and working as part of a team.Qualifications:• Minimum Bachelor’s degree or equivalent experience• Minimum 3 years experience in claims administration and/or PPO network provider contract administration• Ability to work independently as well as part of a team• Ability to coordinate with other teams and business entities• Ability to use software, hardware, and peripherals to accomplish job responsibilities, including MS Office• Prior QA/BA experience• Knowledge of CNS repricing system Location: Naperville, IL 60563 Job Status/Type: Full Time, Employee Career Level: Experienced (Non-Manager) Job RefCode: 495
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