Claim specialist Jobs in Colorado Springs, CO

Network Contract Specialist

The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for Presbyterian Health Plan with Medicaid, Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all necessary contract-related updates. Key responsibilities include handling contract changes, Statements of Work, amendments, rate updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant with internal policies and New Mexico-specific regulatory requirements. Strong collaboration with internal departments is essential to maintain network accuracy, provider data integrity, and overall operational efficiency. Detailed tracking and documentation of all contract activities and provider communications are critical components of this role.

Responsibilities include :

• Support and maintain behavioral health provider contracts for Medicaid, Medicare, and Commercial lines of business across the New Mexico territory
• Perform provider contracting functions in collaboration with the Network team
• Process contract-related updates including : Exhibits, Contract changes, Statements of Work, Amendments, Rate updates, Letters of Direction, and NCQA / CAQH
• Ensure compliance with internal standards and state-specific requirements
• Collaborate with internal departments to support network accuracy, provider data integrity, and operational efficiency
• Maintain thorough documentation and tracking of all contract activity and communications

Additional duties include :

Other job requirements :

General job information :

Salary Range :

Salary Minimum : $45,655

Salary Maximum : $68,485

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE / M / F / Vet / Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.