Manager, Claims and Contract Support Services

Company Name:
MMS Group
MANAGER - CLAIMS AND CONTRACT SUPPORT SERVICES
GROWING health plan needs a "Hands On" leader who will oversee the the contracting and configuration for claims. This includes staff development and implementation of business solutions to correct issues. You will report necessary data to expedite resolution of claims issues and support policy decisions related to claims operations. Serve as the subject matter expert in resolution of claims and configuration issues. Manage workflow to assure timely, accurate submission and implementation of contracts . Serve as health plan interface on software product upgrades/implementations that affect contract implementation
Collaborate with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations
Ideal candidate will have Bachelors degree, 5+ years of provider relations/services, provider contracting and/or claims administration experience in a managed care environment. Prefer Medicare and Medicaid claims and contracting experience.

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