Configuration Specialist - Contract Build
CentivoNew York, New York, United States • Buffalo, New York, United States
Posted October 15, 2025
Full Time
About the Company
Centivo is an innovative healthcare company founded in 2017, dedicated to making healthcare more affordable for employers and employees. Through a primary care-centered health plan partnered with leading local health systems, Centivo offers self-funded health plans that reduce the total cost of care by up to 30%, providing tangible value to all stakeholders. The company serves diverse clients from small businesses to Fortune 100 enterprises and is committed to transparency in its hiring process.
Job Description
Centivo is seeking a Configuration Specialist – Contract Build to ensure accurate and timely configuration and maintenance of provider contracts. This role involves interpreting contract terms, setting up fee schedules, and ensuring compliance with regulatory standards to support claims adjudication and provider payments. Key responsibilities include collaboration with various teams and system upgrades.
Requirements
- Read and interpret physician, facility, and ancillary contracts.
- Perform manual pricing based on contract language.
- Configure and maintain provider contracts in health plan systems.
- Interpret and apply contract terms and reimbursement methodologies.
- Analyze claim impact reports to evaluate pricing accuracy.
- Complete claim adjustments and configuration changes.
- Perform unit and/or end user testing.
Benefits
- Competitive salary
- Benefits package (details not provided)
