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Contract Configuration Specialist

Remote, USA

About Lantern

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

About You:

  • You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
  • INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
  • You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
  • You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
  • Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
  • You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 

 

If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.

 

Contract Configuration Specialist

As a Contract Configuration Specialist, you’ll be responsible for the timely and accurate load of all Professional, Facility, and Ancillary contracts within Lantern’s Claims and Provider Services systems. You’ll serve as a subject matter expert in all areas of contract configuration, rate reimbursement, and claims processing capabilities. You’ll work closely with Claims, Network Development, and Analytics teams to develop and refine workflows for efficient contract processing, and you’ll be the subject matter expert to review and approve non-standard contract terms prior to execution. 

Responsibilities: 

  • Responsible for all provider, facility, and ancillary rate configurations within Lantern’s Claim and Provider Services systems, including ingestion within SLA
  • Coordinate with Network Management to align contract language and terms with Claims system capabilities
  • Analyze executed contracts for best practice alignment and opportunities to enhance
  • Review non-standard contract terms to ensure alignment with system capabilities 

Qualifications: 

  • Education: Bachelor's Degree, preferably in Business Operations, Information Systems, or related field
  • Experience: 3-5 years of relevant experience in a healthcare environment
  • Skills:
    • Experience with claims system programming
    • Experience in provider, facility, and ancillary contract file set-up, maintenance, testing, and auditing
    • Excellent knowledge of medical terminology, fee schedules, and CMS codes
    • Strong attention to detail, with analytical and technical problem-solving skills
    • Proficient with MS Office
    • Experience with Zellis, Visium, and PayerCompass highly preferred 

 Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short & Long Term Disability
  • Life Insurance
  • 401k with company match
  • Paid Time Off
  • Paid Parental Leave

 

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

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