Description
Position Purpose: Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up.
Key Details: This is a remote, nationwide opportunity.
- Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
- Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
- Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.
- Maintain and update on a routine basis the contract organization’s databases.
- Produce reports, as requested.
- Coordinate the Corporate-wide data verification process for contracted providers. Update contract organization’s databases, as necessary.
- Interface with the credentialing staff to ensure all Health Plan data systems are congruent.
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
