Provider Contract Management System Director

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Provider Contract Management System Director directs the team responsible for implementing and maintaining benefits systems for managed care and provider data. Oversees and verifies rate coding to ensure the correct discounts, per diems, case costs, and fee schedules are applied. Being a Provider Contract Management System Director monitors the configuration of system settings to adjudicate contract provisions. Contributes to training and development of provider loading procedures. Additionally, Provider Contract Management System Director requires a bachelor's degree. Typically reports to senior management. The Provider Contract Management System Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Provider Contract Management System Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.