Senior Contracts Specialist

1 week ago


Boston, Massachusetts, United States Sevita Full time
Job Summary

We are seeking a highly skilled Senior Contracts Specialist to join our team at Sevita. As a key member of our contracts team, you will be responsible for ensuring consistency and securing public and private insurance contracts.

Key Responsibilities
  • Work in partnership with senior leadership, Program Directors, and Director of Contracts and Payor Engagement to ensure consistency and secure public and private insurance contracts.
  • Analyze and monitor financial aspects of existing contracts and maintain original documentation of all contracts.
  • Identify, contact, and create relationships with potential payors that result in new contracts and increased funding possibilities for program participants.
  • Conduct rate and contract negotiations.
  • Assist with the development of potential relationships with strategic partners and create measurable business results for various markets.
  • Describe brain injury programs to potential contract sources.
  • Communicate with state directors and state operating/marketing staff regarding contract specifics.
  • Ensure commitments to participants, family, referral sources, and payors are met.
  • Complete contract-related credentialing and enrollment application requirements, maintaining a database of licenses, accreditation forms, financial, and organizational information for an efficient and timely enrollment application.
  • Oversee Single Case Agreement process within the Admissions Teams; may take lead in difficult single case negotiation.
  • In tandem with the manager and/or director, supervise workflow activities of other staff members. Embrace a team lead role within the organization, communicating contract executions and requirements to all internal departments and facilitating the resolution of contract-related issues with billing and collections team.
Requirements
  • Bachelor's Degree in Rehabilitation Administration, Business Administration, or related field.
  • Three to five years of experience with contracts, managed care, and health insurance-related industry preferred.
  • Self-motivated and detail-oriented with ability to multi-task.
  • Strong analytical skills with the ability to collect information from different sources.
  • Strong verbal and written communication skills.
Why Sevita?
  • Full compensation/benefits package for employees working 30+ hours/week.
  • 401(k) with company match.
  • Paid time off and holiday pay.
  • Complex work adding value to the organization's mission alongside a great team of co-workers.
  • Enjoy job security with nationwide career development and advancement opportunities.


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