Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Contract Configuration Leader

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Director and Equivalent
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1913Y Requisition #
Thanks for your interest in the Contract Configuration Leader position. Unfortunately this position has been closed but you can search our 235 open jobs by clicking here.
Qualifications:
  • B. S. degree in Business Operations, Information Systems or equivalent
  • Minimum 10 years’ experience in managing high volume technical health care business operations required
  • Strong familiarity with  claims systems and interdependent applications required
  • Experience in the management of provider, facility, and ancillary contract files set-ups, maintenance, testing and auditing functions required
  • Extensive experience in establishing and accomplishing business strategies to successfully translating contractual language into system reimbursement specifications required
  • Excellent knowledge of medical terminology, Fee Schedules, and ICD/CPT/HCPCS coding required
  • Understanding of Government reimbursement methodologies required
  • Requires a minimum of 3 years’ experience in a leader role working with cross functional teams required
  • Analytic, problem solver, excellent organizational and technical skills and attention to detail are required required

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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