Senior Contract Manager

Job description

Job Summary: The Senior Contract Manager is tasked with the responsibility of efficiently ensuring provider contract terms and rates are propagated through multiple systems. This includes ensuring synchronization and validation of these terms into the Contracts, Authorizations, and Claims databases. This role facilitates a seamless implementation process for providers and conducting thorough audits of rates within the databases to guarantee accuracy. Additional responsibilities of this role include coordinating with third-party software vendors to articulate requirements, develop, and test solutions for the effective implementation of business processes. Essential Functions: - Serve as the primary finance liaison with the internal compliance department ensuring contract information meets the specific data and workflow requirements for the claims adjudication system. - Collaborate with external provider networks to obtain essential data elements and formats, and ensure the receipt of all necessary information for accurate and timely claims processing. - Verify payment information is correctly captured and integrated, which is vital for the efficient and effective adjudication of cla...