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Configuration Specialist – Contract Build - Remote

Posted 8 weeks ago
Finance / Legal
Contract
USA

Overview

The Configuration Specialist – Contract Build role is responsible for the accurate and timely configuration and maintenance of provider contract and pricing configurations within Centivo’s core systems.

In Short

  • Responsible for configuring and maintaining provider contracts.
  • Interpret contract terms and set up fee schedules.
  • Ensure compliance with regulatory and organizational standards.
  • Collaborate with Network Contracting and Provider Relations team.
  • Coordinate with business units and vendors during client implementations.
  • Analyze claim impact reports for pricing accuracy.
  • Perform unit and end user testing for new configurations.
  • Provide technical support and training for team members.
  • Participate in special projects as needed.
  • Strong attention to detail and accuracy required.

Requirements

  • 5 years of experience in provider contract configuration or similar role.
  • 3 years of experience in health plan claims processing preferred.
  • Ability to analyze claims for pricing accuracy.
  • Exemplary customer service skills.
  • Strong analytical and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Ability to work independently and as part of a team.
  • Enjoy working in a fast-paced environment.
  • Strong people skills.
  • High school diploma or GED; associate or bachelor’s degree preferred.

Benefits

  • Work remotely.
  • Opportunity to work with a mission-driven company.
  • Collaborative team environment.
  • Supportive company culture.
  • Potential for professional growth.

Centivo

Centivo

Centivo is an innovative health plan designed for self-funded employers, dedicated to providing affordable, high-quality healthcare to millions facing financial challenges with their medical bills. Utilizing a primary care-based ACO model, Centivo offers significant savings—15 to 30 percent—compared to traditional insurance carriers, while also delivering substantial benefits to employees, including free primary care and a no-deductible plan design. The company serves a diverse range of employers, from small businesses to Fortune 500 companies, and is headquartered in Buffalo, NY, with additional offices in New York City. Centivo is supported by prominent healthcare and technology investors, including Morgan Health, a unit of JPMorgan Chase & Co.

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