Current jobs related to Payor Contract Manager Full Time - Columbus, Ohio - Hughston Clinic

  • Lumber Yard Load Specialist

    4 weeks ago

    Columbus, Ohio, United States Contract Lumber Full time

    Location: Groveport, Ohio Salary Range: $18-$20 (based on experience.) Comprehensive Benefits, Profit Sharing & 401K Monday – Friday, 1 st Shift (Flexible)40hrs/wk. (ability to work overtime, when needed) Are you seeking a dynamic work environment that breaks the mold of traditional job roles? At Contract Lumber, we pride ourselves on fostering a...

  • Experienced Carpenter for Customer-Focused Installations in Ohio

    4 weeks ago

    Columbus, Ohio, United States Contract Lumber Full time

    Position: Experienced Carpenter for Customer-Focused InstallationsLocation: Pataskala, OHCompensation: $18-27 per hour (Dependent on Experience)Comprehensive Benefits Package, including Profit Sharing and 401KWork Schedule: Monday – Friday, 1st Shift (Flexible Hours)40 hours per week with potential for overtime as neededWhy Join Us?Are you looking for a...

  • Operations Manager, Full-time

    3 weeks ago

    Columbus, Ohio, United States AVI Foodsystems Full time

    **About AVI Foodsystems**AVI Foodsystems is a leading food service company that has been providing comprehensive services with a focus on quality and value since 1960. We are committed to delivering exceptional service and exceeding customer expectations.**Job Summary**We are seeking a highly motivated and experienced Operations Manager to join our team in...

  • Contract Management Specialist

    3 weeks ago

    Columbus, Ohio, United States Vaco Full time

    About the RoleVaco is partnering with a global organization seeking a highly motivated Contract Management Specialist to join their growing team. This role plays a vital part in ensuring that all commercial contracts align with company objectives and legal standards.Key Responsibilities:Review, analyze, and manage commercial contracts to ensure compliance...

  • Financial Operations Associate

    4 weeks ago

    Columbus, Ohio, United States Contract Lumber Full time

    Financial Operations Associate Compensation: $28-30/hr. (commensurate with experience) Location: Pataskala, Ohio. Contract Lumber is committed to fostering strong partnerships with our builder clients to enhance their operational efficiency and profitability. Our business practices are grounded in ethical standards, focusing on delivering outstanding...

  • Physical Therapist Assistant Home Health Full Time

    1 week ago

    Columbus, Ohio, United States CenterWell Full time

    About the RoleWe are seeking a skilled Physical Therapist Assistant to join our team at CenterWell Home Health. As a Physical Therapist Assistant, you will play a vital role in providing high-quality patient care and contributing to the success of our home health care services.Key ResponsibilitiesAdminister physical therapy treatment plans developed by...

  • Physical Therapist Assistant Home Health Full Time

    1 day ago

    Columbus, Ohio, United States CenterWell Full time

    About the RoleWe are seeking a skilled Physical Therapist Assistant to join our team at CenterWell Home Health. As a Physical Therapist Assistant, you will play a vital role in providing high-quality patient care and contributing to the success of our home health care team.Key ResponsibilitiesAdminister physical therapy treatment plans developed by Physical...

  • Contract Manager

    2 weeks ago

    Columbus, Ohio, United States Destinationone Consulting Full time

    Job Summary:Destinationone Consulting is seeking a skilled Contract Manager to oversee the drafting, negotiation, and management of contracts for the company. As a key member of the team, you will ensure that all contracts are compliant with legal standards and protect the company's interests.Key Responsibilities:Drafting and Negotiation: Develop, review,...

  • Business Development Specialist

    6 days ago

    Columbus, Ohio, United States No Greater Time Full time

    About No Greater TimeWe are a global provider of leadership, wealth creation, and personal development programs. Our mission is to empower individuals to achieve their full potential and make a positive impact in the world.Job OpportunityWe are seeking a highly motivated and self-driven individual to join our team as a Coaching Professional. This is a...

  • Contract Negotiator

    2 days ago

    Columbus, Ohio, United States Vaco Full time

    Job Title: Contract AnalystVaco is seeking a skilled Contract Analyst to join our team. As a Contract Analyst, you will play a critical role in negotiating construction and real estate contracts, assessing risk, and ensuring submittals are compliant.Key Responsibilities:Manage daily operational aspects of agreement processing, including evaluating and...

  • Physical Therapist

    1 week ago

    Columbus, Ohio, United States Select Medical Full time

    About the RoleWe are seeking a compassionate and driven licensed Physical Therapist to provide exceptional patient care experiences on an as-needed basis at our Columbus, IN center.ResponsibilitiesEvaluate, treat, and direct treatment for patients for whom physical therapy is medically necessary.Maintain open and respectful communication with co-workers,...

  • Pharmacy Manager

    13 hours ago

    Columbus, Ohio, United States AndHealth Full time

    Job Title: Pharmacy ManagerWe are seeking a highly skilled Pharmacy Manager to join our team at AndHealth. As a Pharmacy Manager, you will play a critical role in ensuring the delivery of high-quality patient care and services.Key Responsibilities:Provide clinical guidance and oversight to the specialty pharmacy programAct as the senior clinical staff member...

  • Physical Therapist

    15 hours ago

    Columbus, Ohio, United States Select Medical Full time

    Physical Therapist OpportunityWe are seeking a compassionate and driven licensed Physical Therapist to provide exceptional patient care experiences on an as-needed basis at our Columbus, IN center.ResponsibilitiesEvaluate, treat, and direct treatment for patients for whom physical therapy is medically necessary.Maintain open and respectful communication with...

  • Contract Specialist

    3 days ago

    Columbus, Ohio, United States Romanoff Group Full time

    Job OverviewRomanoff Group, a leading provider of commercial and residential services, is seeking a skilled Contract Specialist to join their team. As a Contract Specialist, you will play a critical role in supporting the company's business contracts, proposals, and financial agreements.Key ResponsibilitiesManage day-to-day contract logistics, ensuring...

  • Physical Therapist

    5 days ago

    Columbus, Ohio, United States Select Physical Therapy Full time

    About the RoleWe are seeking a compassionate and driven licensed Physical Therapist to provide exceptional patient care experiences on an as-needed basis at our Columbus, IN center.ResponsibilitiesEvaluate, treat, and direct treatment for patients for whom physical therapy is medically necessary and document this need clearly.Maintain open and respectful...

  • Center Manager Physical Therapist

    5 days ago

    Columbus, Ohio, United States Select Employment Services, Inc. Full time

    Center Manager Physical Therapist Job SummaryWe are seeking a highly skilled and experienced Physical Therapist to assume the role of Center Manager at our outpatient orthopedic physical therapy center in Columbus, Ohio.Key Responsibilities:Assume responsibility of the center and uphold executive decisionsMaintain and demonstrate an attitude of excellence...

  • Contract Negotiator

    22 hours ago

    Columbus, Ohio, United States Vaco Full time

    Job Title: Contract AnalystVaco is seeking a skilled Contract Analyst to join our team. As a Contract Analyst, you will play a critical role in negotiating and managing construction and real estate contracts, ensuring compliance and mitigating risks.Key Responsibilities:Agreement Processing: Manage daily operational aspects of agreement processing, ensuring...

  • Head of Operations Project Management

    4 weeks ago

    Columbus, Ohio, United States American Renal Associates Full time

    Operations Project Management Director The Operations Project Management Director will be instrumental in shaping the strategy for operational enhancements, synthesizing and evaluating data, and collaborating with various departments across the organization to establish project frameworks and execute within a timeline and budget that aligns with...

  • Personal Training Team Leader

    3 weeks ago

    Columbus, Ohio, United States Life Time> Full time

    Life Time - PT Leader-2 PositionAs a PT Leader-2 at Life Time, you will play a pivotal role in guiding and nurturing a team of Fitness Professionals to reach their full potential. Your responsibilities will include embodying the Life Time Training ethos daily by crafting exceptional experiences. You will oversee the fitness area, ensuring that members...

  • Cashier (Full Time)

    2 weeks ago

    Columbus, Ohio, United States Compass Group, North America Full time

    Job SummaryWe are seeking a skilled Cashier to join our team at Compass Group, North America. As a Cashier, you will be responsible for providing exceptional customer service, processing transactions, and maintaining a clean and organized workspace.Key Responsibilities:Process sales transactions accurately and efficientlyProvide excellent customer service,...

Payor Contract Manager Full Time

3 months ago

Columbus, Ohio, United States Hughston Clinic Full time

Position Goal
The Payor Contract Manager provides support in and manages existing and new payor contracts and relationships.

The Payor Contract Manager supports the company all while providing support across the Managed Care department to maintain existing healthcare insurance payor partnerships.


Position Responsibilities:

  • Manage professional service healthcare network participation and negotiate and maintain competitive contracts with all targeted healthcare insurance payors. This includes researching territories to maintain a balanced payor mix, addressing gaps with our payor base and supporting expansion into new markets.
  • Maintain proactive relationships with payors and develop new relationships as required to support Hughston's strategic objectives. Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify possible opportunities for additional covered services, strategic partnerships, medical policy changes and reimbursement updates.
  • Facilitate the review and approval process of all contract documents from precontract through post signature phases, accuracy of supporting documentation, and timely maintenance in systems.
  • Develop and maintain processes that provide timely notification and administration of critical contract events (e.g., any annual rate updates, contract renewals, termination, proper notices, and other critical contract requirements).
  • Establish influential relationships with practice administrators and billing department to ensure staff is informed of contractual requirements and any changes in medical policy & billing policies.
  • Conduct ongoing assessments of payor mix, contract performance, regulatory changes and make recommendations for annual forecasts, strategic initiatives, goals, and objectives.
  • Support the due diligence process, as required, for addon practice expansion.
  • Develop and maintain periodic reports on the status of all contracts.
  • Assist with all contracting administration and projects, as needed.

Experience:

  • Required:_
  • Five years of relevant experience with healthcare payor, clinic, or physician.

Education:

  • Required:_
  • Bachelor's degree in health/business administration or related field
    or High School Diploma with five years relevant managed care experience

Special Qualifications:

  • Required:_
  • Excellent contract negotiation skills.
  • Demonstrated knowledge and understanding of healthcare industry, including ongoing compliance with specialty regulatory requirements.
  • Willingness to actively participate in all aspects of the contract administrative process. This is a handson working role as opposed to a lead and direct staff role.
  • Exceptional and proven provider partnership skills and interpersonal skills.
  • Results driven, persistent able to selfdirect and work independently showing initiative, while seeking guidance when appropriate.
  • Demonstrated strength in various computer software including MS Office Suite, PowerPoint, as well as proficiency in utilizing social media platforms and internetbased research.
  • Demonstrated effective written, verbal, and electronic communication that is professional in both content and delivery.
  • Ability to work as a team member, take initiative, exercise independent judgment, decisionmaking, and problemsolving expertise.
  • Must have a valid driver's license and a satisfactory Motor Vehicle Record (MVR)