Associate Contract Specialist

Who We Are Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point
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Health .

Job Summary The Associate Contract Specialist is responsible for coordinating the implementation, maintenance, and administration of provider and vendor contracts across the Medical, Behavioral Health, and Ancillary networks. This individual partners with internal departments to ensure contract terms are accurately and timely operationalized across systems, processes, and stakeholders. The Associate Contract Specialist manages contract implementation activities, tracks progress, resolves operational issues, supports compliance and audit requirements, and facilitates cross-functional collaboration to ensure successful execution and ongoing maintenance of contractual agreements.

This role is also responsible for implementation documentation, operational support, issue resolution, and process improvement initiatives that enhance accuracy, efficiency, and regulatory compliance.

Job Description

Key Responsibilities /Duties – what you will be doing (top five)
Coordinate the implementation and maintenance of provider and vendor contracts across all lines of business.

Facilitate cross-functional implementation activities to ensure contractual requirements are operationalized accurately and within established timelines.

Ensure all executed contracts adhere to standard contracting policies and guardrails, or that the exception process has been followed when variations from the standard are necessary.

Review and document contract provisions, reimbursement methodologies, and operational requirements to support implementation efforts.

Support testing, validation, and quality assurance activities to ensure contract configuration accuracy and operational readiness.

Develop, maintain, and facilitate the claims recycle process to correct provider payments in collaboration with claims processing partners.

Partner with internal stakeholders to identify, troubleshoot, and resolve implementation and operational issues.

Monitor implementation milestones, track deliverables, and communicate status, risks, and dependencies to stakeholders.

Maintain implementation documentation, tracking tools, and operational records.

Assist with regulatory, compliance, and audit-related activities as required.

Identify opportunities for process improvement and contribute to initiatives that enhance efficiency, accuracy, and service delivery.

Perform other duties or projects as assigned, with or without accommodation.

Qualifications – what you need to perform the job Certification and Licensure

Education BA/BS degree or equivalent experience.

Experience Required (minimum): 1-3 years of work experience.

Preferred: 3-5 years of experience in managed care or other health care environment with knowledge of health care market and needs/concerns of health care…