Payer Contract Coordinator

4 weeks ago


Monroeville, Pennsylvania, United States CVS Health Full time

Job Summary

At CVS Health, we are seeking a highly skilled Payer Contract Coordinator to join our team. As a key member of our healthcare reimbursement team, you will be responsible for creating and maintaining payer contracts to ensure accurate billing and collections. This role is critical to the success of our organization, and we are looking for a talented individual who can help us achieve our goals.

Key Responsibilities

• Process and coordinate contract requirements and re-certifications with payers and other authorized agents
• Monitor payer reimbursement data in multiple systems and reports to ensure compliance with expected pricing
• Reimbursement rates in support of accurate billing and collections and contract/payer agreement compliance
• Serve as a critical point of contact to healthcare billing and reimbursement operations
• Interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates

Requirements

• 18+ months experience within healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations
• 12+ months working with Microsoft Office, specifically Excel, Outlook, and Word
• Must live within a 1 hour commute to the Monroeville, PA office

Preferred Qualifications

• Experience with SharePoint
• Experience dealing with contracts with payers
• Education: High School Diploma or equivalent

About CVS Health

At CVS Health, we are committed to helping people on their path to better health. We are working to transform healthcare through innovations that make quality care more accessible, easier to use, less expensive, and patient-focused. We strive to promote and sustain a culture of diversity, inclusion, and belonging every day.



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