Manager, Provider Contract Administration
AmeriHealth Caritas
Role Overview: The Manager of Corporate Provider Network Management (CPNM) Contract Administration leads the operational processes supporting the provider contracting lifecycle. This role ensures the accurate and timely submission of contract documentation, maintains data integrity, and supports compliance across all contract administration activities.
Work Arrangements:
This position is fully remote and may be performed from any location within the United States, with required availability during Eastern Standard Time (EST) hours.
Associates must have access to a reliable high-speed internet connection capable of supporting daily responsibilities, with a minimum bandwidth of 50 Mbps download and 5 Mbps upload.
Fully remote associates residing in states where reimbursement is required by contract, law, or regulation may submit for appropriate expense reimbursement.
Responsibilities:
Oversee the end-to-end provider contract submission process to ensure accuracy, timeliness, and compliance with organizational standards, including that contract packages meet internal quality standards before submission.
Supervise contract administration and support staff, including guidance, training, performance feedback, and workload management.
Ensure contract documentation, credentialing materials, and supporting information are collected, validated, and uploaded per requirements and maintain accurate records, tracking logs, and dashboards to support operational reporting and transparency.
Monitor intake queues, submission workflows, and processing timelines to ensure efficient, compliant operations.
Partners closely with cross-functional teams, including contracting, credentialing, provider enrollment, and configuration, to ensure efficient and consistent workflows. This role also oversees contract administration staff, drives process improvements, and supports internal contracting operations.
Identify and recommend process improvements to address workflow gaps and data integrity issues.
Develop, update, and maintain job aids, standard operating procedures (SOPs), and workflow documentation to ensure consistency, clarity, and compliance across contract administration activities.
Education & Experience:
Bachelor's degree or equivalent experience
5 or more years of leadership, supervisory, or team-leader capacity experience.
7 or more years of network management or contract administration experience.
Skills & Abilities:
Strong understanding of healthcare provider networks, credentialing workflows, and contract documentation requirements.
Demonstrated ability to manage operational processes, evaluate workflow efficiency, and ensure adherence to established standards and deadlines.
Proficiency with contract management systems, provider data platforms, and Microsoft Office Suite (Word, Excel, Outlook, Teams).
Excellent organizational skills with strong attention to detail and accuracy.
Effective verbal and written communication skills, including the ability to work cross-functionally and support multiple internal stakeholders.
Experience supporting managed care contracting, provider network development, or payer operations.
Familiarity with credentialing, configuration, and regulatory compliance processes.
Experience creating job aids, SOPs, workflow guides, or training documentation.
Background working with healthcare regulatory requirements or audit processes.
Experience with workflow management tools, contract intake systems, or provider lifecycle management platforms.
Experience in management and leading a team.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
$122.6k
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