Summary of Position
We are seeking a dynamic Contract Specialist who will be responsible for loading all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner. This individual will provide subject matter expertise in all areas of contract configuration, fee schedules/groupers, and rate reimbursement. The Contract Specialist collaborates on workflows and business processes to ensure efficient interaction with Network Development, Analytics, and other business areas to facilitate accurate translation and maintenance of contractual agreements into the Network. This individual will also develop expertise in the downstream impact of loaded rates within EmblemHealth's full claims reimbursement cycle.
Roles and Responsibilities
Qualifications