Associate Contract Specialist

Overview

This role coordinates the implementation, maintenance, and administration of provider and vendor contracts across Medical, Behavioral Health, and Ancillary networks. You will partner with internal departments to ensure contract terms are operationalized accurately and timely across systems, processes, and stakeholders. The position also supports compliance and audit-related requirements, maintains implementation documentation and tracking tools, and contributes to process improvement initiatives.

Responsibilities

• Coordinate the implementation and maintenance of provider and vendor contracts across all lines of business.
• Facilitate cross-functional implementation activities to ensure contractual requirements are operationalized accurately and within established timelines.
• Ensure executed contracts adhere to standard contracting policies and guardrails, or that the exception process has been followed when variations from the standard are necessary.
• Review and document contract provisions, reimbursement methodologies, and operational requirements to support implementation efforts.
• Support testing, validation, and quality assurance activities to ensure contract configuration accuracy and operational readiness.
• Develop, maintain, and facilitate the claims recycle process to correct provider payments in collaboration with claims processing partners.
• Partner with internal stakeholders to identify, troubleshoot, and resolve implementation and operational issues.
• Monitor implementation milestones, track deliverables, and communicate status, risks, and dependencies to stakeholders.
• Maintain implementation documentation, tracking tools, and operational records.
• Assist with regulatory, compliance, and audit-related activities as required.
• Identify opportunities for process improvement and contribute to initiatives that enhance efficiency, accuracy, and service delivery.
• Perform other duties or projects as assigned, with or without accommodation.

Qualifications

Education

• BA/BS degree or equivalent experience.

Experience

• Required (minimum): 1-3 years of work experience.
• Preferred: 3-5 years of experience in managed care or other health care environment with knowledge of health care market and needs/concerns of health care providers is highly desirable.

Skill Requirements

• Highly motivated with excellent organizational skills; able to manage large volumes of information and multiple assignments while meeting SLAs, project milestones, and established deadlines; attention to detail is key.
• Ability to understand and interpret the financial, legal, and operational aspects of a contract, with emphasis on the implementation of contract terms.
• Strong customer focus and expertise in setting and managing customer expectations.
• Ability to understand nuances of various product lines and the unique operational and financial features associated with each product.
• Initiative and sound judgment; able to work independently under pressure in a constantly changing environment while balancing multiple priorities.
• Ability to learn and apply organizational policies consistently and seek guidance when necessary.
• Ability to conceptualize and envision the impact of change; flexible and a proponent/champion of change.
• Excellent interpersonal skills to develop strong working relationships with internal and external contacts.
• Excellent diplomacy and oral and written communication skills; ability to coordinate efforts among various departments.
• Ability to work cooperatively as a team member.
• Dedicated to quality processes and outcomes.

Working Conditions and Additional Requirements

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond the standard work schedule.

Compensation & Benefits

Salary Range

• $57,798.51 - $86,697.77

Total Rewards

• Annual base salary range varies based on scope and complexity of the role; skills, education, training, credentials, and experience; and internal equity.
• Colleagues may be eligible for variable pay.
• Eligibility for bonus, commission, benefits, or other forms of compensation and benefits remains in the employer’s discretion and may be modified.

Comprehensive total rewards package currently includes:

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

Equal Opportunity

All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.