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Network Contract Administrator (Beacon)

Company: Anthem, Inc
Location: Cerritos
Posted on: April 30, 2021

Job Description:

Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it's a powerful combination. It's the foundation upon which we're creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.Location: Remote work opportunity - Cerritos, CA area. The Network Contract Administrator prepares and maintains contracts and documentation with multiple payment methodologies for hospitals and other certain ancillary providers. Primary duties may include, but are not limited to: --- Compiles and analyzes data in support of contract development. --- Analyzes and prepares contracts with multiple complex payment methodologies (per diem, per case, stop loss, OHAS fee schedule, rapid treatment, charge caps, etc.) as defined by DRGs, revenue codes, cpt codes, etc. --- Constructs pricing exhibits, utilizing multiple payment methodologies, covering multiple contract periods. --- Constructs charge cap exhibits covering multiple contract periods. --- Maintains all contract and amendment boilers (Hospital, ASC, Partial Day, Outpatient Facility, etc.) and coordinates changes as necessary, paying close attention to contract language and content. --- Ensures contracts comply with state and federal laws. Qualifications Requires a BA/BS degree; 2-4 years of healthcare operations, provider/network or contract related experience; or any combination of education and experience, which would provide an equivalent background.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. REQNUMBER: PS48385

Keywords: Anthem, Inc, Cerritos , Network Contract Administrator (Beacon), IT / Software / Systems , Cerritos, California

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