Current jobs related to Contract Administrator and Auditor - Cary - MCKESSON

  • Administrative Assistant

    3 weeks ago

    Cary, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering a contract for a position as an Administrative Assistant in the Waste, Refuse & Environmental Waste Mgt industry, based in CARY, North Carolina. As an Administrative Assistant, your role will cover a range of tasks, including customer service support, office organization, and call management.Responsibilities:•...

  • Office and Customer Support Administrator

    2 months ago

    Cary, United States OncoHost Full time

    OncoHost is a technology company headquartered in Binyamina, Israel, and Cary, North Carolina, transforming the approach to precision medicine for improved patient outcomes. Our proprietary platform, PROphet®, is a plasma-based proteomic pattern analysis tool whose initial offering in non-small cell lung cancer (NSCLC) uses a single blood sample to guide...

  • Senior MySQL Database Administrator

    2 months ago

    Cary, United States OSI Engineering Full time

    Senior MySQL Database AdministratorJob Description:We are seeking a Senior MySQL Database Administrator with demonstrated expertise in multi-site clustering to join our dynamic Global Support team. The ideal candidate will be responsible for installing, managing, maintaining, and optimizing our MySQL databases, ensuring high availability, performance, and...

  • Bilingual Branch Administrative Specialist

    4 days ago

    Cary, United States Precision Walls Full time

    Precision Walls, Inc. has an exciting opportunity for a Bilingual Branch Administrative Specialist! Position Summary: This position is primarily responsible for managing all general office duties. The position requires a great deal of discretion as responsibilities include confidentiality of contracts, pays and revenue to the branch. Must be able to...

  • Sales Performance Optimization Specialist

    4 weeks ago

    Cary, North Carolina, United States Cadence Design Systems Full time

    Cadence Design Systems, a pivotal leader in electronic systems design, is seeking a Sales Performance Optimization Specialist to join our Worldwide Sales Operations team. This role offers the opportunity to work with a dynamic company in a mission-critical organization.**Position Overview:**We are currently looking for an experienced professional to provide...

  • Security Compliance Specialist

    3 months ago

    Cary, United States TEKsystems Full time

    Job DescriptionJob Description 3186738** U.S. Citizens and GC Holders **6-18 month contract to hire (could convert anytime after initial 6 months)Top Three Skills:1 . ISO 27001 - this person will need to have Sr. to Expert level experience within ISO 27001 Framework and within the implementation process. This person will be assisting with leading the...

  • Fiscal Operations Manager

    4 weeks ago

    Cary, North Carolina, United States Wake County Public Schools Full time

    About the RoleWe are seeking a highly skilled Senior Administrator for Fiscal Services to join our team at Wake County Public Schools. As a key member of our organization, you will play a critical role in ensuring the financial integrity and compliance of our operations.Job DescriptionThis senior-level position is responsible for providing leadership and...

  • Healthcare Support Professional

    6 days ago

    Cary, North Carolina, United States Healthcare Staffing Professionals, Inc Full time

    Career OpportunitiesAs a Certified Nursing Assistant, you will work in a correctional setting in Raleigh, NC. Your responsibilities will include providing high-quality patient care and supporting the healthcare team.We offer competitive pay rates, with an estimated $16 per hour salary, paid weekly. Our benefits package includes 24/7 employee support,...

  • Database Expert for Large Scale Clustering Solutions

    4 weeks ago

    Cary, North Carolina, United States OSI Engineering Full time

    About the JobThe ideal candidate will be responsible for installing, managing, maintaining, and optimizing our MySQL databases across distributed systems. The database administrator will handle critical database operations spanning multiple locations, ensuring near real-time data replication and disaster recovery.This position reports to the VP of Global...

  • Medical Territory Development Manager

    1 week ago

    Cary, North Carolina, United States HRIS-Payroll and Timecard Systems Full time

    About the RoleWe are seeking a Medical Territory Development Manager to join our team in Raleigh, NC. As a key member of our sales team, you will be responsible for expanding our customer base and increasing sales revenue in the region.ResponsibilitiesSell and promote our medical products to healthcare professionals and organizationsDevelop and implement...

  • Salesforce Business Analyst

    2 weeks ago

    Cary, United States Diverse Lynx Full time

    Role: Salesforce Business Analyst Location: Cary, NC (Onsite) ContractRequirements and Skills: Business Analysis, Salesforce, Digital: Salesforce Development and Technical Design, Digital : Salesforce Administration and Functional Design Excellent knowledge of and shown proven expertise with Sales Cloud, Service Cloud, Experience Cloud, and Salesforce CPQ....

  • Allied:Occupational Therapy

    3 weeks ago

    Cary, United States Cary Health and Reha Full time

    DetailsClient Name Cary Health and Reha Job Type Permanent Offering Allied Profession Allied:Occupational Therapy Specialty Occupational Therapist (OT) Job ID 29779439 Job Title Allied:Occupational Therapy - Occupational Therapist (OT) Shift DetailsShift 8 Hours x 5 Days Scheduled Hours 40 Job Order DetailsStart Date 01/01/2025 Job Description About TinkBird...

  • Medical Support Professional

    4 weeks ago

    Cary, North Carolina, United States Healthcare Staffing Professionals, Inc Full time

    Job SummaryWe are seeking a skilled Certified Nursing Assistant to join our team in a correctional setting in Raleigh, NC.About the RoleThis is a dynamic opportunity for an experienced CNA to work in a fast-paced environment and provide high-quality patient care.Key ResponsibilitiesDeliver exceptional patient care and support to inmates in a correctional...

  • Apttus CLM System Expert

    1 week ago

    Cary, North Carolina, United States TEPHRA Full time

    Job Description: We are looking for a skilled Apttus CLM System Expert to join our team at TEPHRA. As a key member of our organization, you will be responsible for designing and configuring the Apttus modules per business requirements.About the Role: This position requires strong expertise in Apttus/Conga CLM tool and at least two of the following Salesforce...

  • Operations Assistant

    2 weeks ago

    Cary, United States Carolina Senior Marketing Full time

    Operations Assistant Full-Time, Bonus, 401k, Health Benefits We are a small group of hard working, get it done kind of people, with a constant focus on new ideas, excellence, and integrity. If you’re a task-oriented person who loves serving others and has a gift in administration, then we want to talk to you. Carolina Senior Marketing is looking for...

  • Export Clerk

    1 month ago

    Cary, United States Belcan Full time

    Details:Job Title: Export Clerk Location: Cary, NC Zip Code: 27513 Start Date: ASAP Job Type: Contract Pay Rate: Up to $30.00/hr DoE Schedule: Hybrid Keywords: #exportclerk #logsticssupport #productionsupportjobsJOB RESPONSIBILITIES: * Responsible for the success of supply for planning and production, both domestically and internationally. * Being able to...

  • Utility Scale Solar Project Manager

    5 days ago

    Cary, North Carolina, United States Cinterra Full time

    About the RoleCinterra is seeking a skilled Senior Project Controls Manager to spearhead the implementation and refinement of cost engineering and project controls methodologies for utility-scale solar projects.This is a challenging and rewarding role that requires a deep understanding of cost engineering methodologies, including economic analysis, resource...

  • Senior Cost Engineer

    4 days ago

    Cary, North Carolina, United States Cinterra Full time

    About the RoleCinterra is seeking an experienced Senior Project Controls Manager to lead the implementation and refinement of cost engineering and project controls methodologies for utility-scale solar projects.This is a high-profile role that requires a deep understanding of cost engineering methodologies, including economic analysis, resource management,...

  • Solution Architect

    1 month ago

    Cary, United States TEPHRA Full time

    Description: This position will analyze the existing SFDC ecosystem and provide BA responsibilities in the rollout of the CLM tool. This position provides process impact review, systems impact, and functional user analysis with the functional business team utilizing the CLM tool. The Business Analyst role requires understanding and implementation of CLM...

  • Senior Living Project Development Manager

    4 weeks ago

    Cary, North Carolina, United States Calyx Living Full time

    We are seeking a skilled Senior Living Project Development Manager to join our team at Calyx Living. This role will oversee and manage the on-going construction and rollout of our new senior living brand across multiple sites.About the RoleThe ideal candidate will have a minimum of 2-3 years of work experience, including 1-2 years of experience managing...

Contract Administrator and Auditor

2 months ago

Cary, United States MCKESSON Full time
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.

Position Description

McKesson is seeking a Contract Administrator & Auditor. Reporting to the Manager, Contract Compliance, the Contract Administrator & Auditor is an integral role accountable for key duties and responsibilities related to payer contract compliance, including audits, credentialing, recredentialing, contract documentation and reimbursement adherence. This position is a key liaison between the Contracting team and Compliance, Quality and Operations teams.

Key Responsibilities

Credentialing & Plan Enrollment
  • Responsible for adhering to an efficient and effective process that guarantees continuous enrollment in Medicaid programs and maintains ongoing credentialing status with commercial and government payers for all pharmacy locations.
  • Archives all sentinel contract dates and key terms in client relationship management platform and provides monthly status reports as needed to ensure awareness and compliance with credentialing and enrollment deadlines.
  • Supports Manager, Contract Compliance in all activity associated with corporate updates including officer and staffing changes, site licensing and credentialing for all pharmacy locations.
  • Acquires and maintains comprehensive and confidential library of corporate documentation including ownership, board and director documentation, delegation of signatory authority, licensing, credentialing files, third party audit results, maintain disclosure file of disciplinary actions by commercial and government payers that impact licensing, status, enrollment or standing.
  • Ongoing research and documentation of external websites required to comply with Medicare, NCPDP, PECOS, NPI registration and state pharmacy boards as needed.
  • Establish working relationships and collaborate with external organizations as it pertains to payer credentialing and network status.
  • Identify and recommend credentialing process and workflow improvements.
  • Processes administrative tasks as needed and requested by management.


Payer Audit & Quality/Process Improvement
  • Performs intake, documentation and coordinated response for all patient or drug-specific audits.
  • Prepares detailed summary and analysis for Quality Assurance teams.
  • Tracks and trends payer audit experience to drive future contracting strategies as needed.
  • Performs root cause analysis and initiates remediation.
  • Evaluate transactions for business feasibility/reimbursement, research, and resolve.
  • Develops and maintains professional working relationships with clients and within organization.
  • Assist with development of SOPs and/or other compliance documents as needed.
  • Thinks creatively and embraces change for the improvement of the company.
  • Conduct ongoing follow-up and status updates of pending tasks.
  • Perform related duties as required.


Minimum Requirement
  • Degree or equivalent and typically requires 4+ years of relevant experience.


Education
  • Degree or related, equivalent experience.


Critical Skills
  • Minimum four (4) years' experience in healthcare working in operational or compliance roles.
  • Knowledge of the insurance or healthcare market; reimbursement and pricing models, experience, and knowledge of compliance activity in heavily regulated industry.
  • Demonstrate excellent verbal and written communication skills and have the ability to communicate tactfully with department heads, manager, coworkers, and clients to resolve problems and negotiate resolutions.
  • Attention to detail and proven organizational skills.
  • Demonstrate analytical skills and the ability to identify trends in large amounts of data, as well as the ability to communicate insights effectively.


Additional Skills
  • Ability to prioritize and meet deadlines.
  • Self-motivator with ability to apply knowledge to new situations.
  • Collaborative, customer focused, and able to create visible value to client and within the organization.
  • Detailed understanding and experience with process documentation and improvement.
  • Ability to learn and absorb new information, processes, or tools.
  • Ability to cross-train others on key tasks and responsibilities.
  • Proficiency with Microsoft Office Suite.
  • Competence with Adobe Pro.


Working Conditions
  • Able to travel overnight domestically 5% of the time.
  • Hybrid work environment - Ideally located in North Carolina (Cary/Raleigh) or a state in the East/South Region.
  • Must be authorized to work in the US unrestricted - This position is not eligible for sponsorship.


We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please

Our Base Pay Range for this position

$69,800 - $116,300

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our page.

Join us at McKesson Contract Administrator and Auditor