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Summary of Role:
- Responsible for the accurate and timely configuration and maintenance of provider contract and pricing configurations.
- Involves interpreting contract terms and setting up fee schedules.
- Ensuring compliance with regulatory and organizational standards.
Responsibilities:
- Read and interpret contracts.
- Configure provider contracts in database systems.
- Analyze claim impact reports.
Required Skills and Abilities:
- Identify platform limitations or capabilities.
- Perform contract reviews to determine accuracy.
- Possess excellent analytical and problem-solving skills.
Centivo
Centivo is an innovative health plan for self-funded employers that aims to bring affordable, high-quality healthcare to those struggling to pay their healthcare bills. They work with employers ranging in size from 51 employees to Fortune 500 companies.