Payer Contracting Associate

5 days ago


Northbrook, Illinois, United States USA Clinics Group Full time
Payer Contracting Associate Job Summary

We are seeking a highly motivated Payer Contracting Associate to join our team at USA Clinics Group. As a key member of our contracting department, you will play a critical role in developing and maintaining strong relationships with payors, health systems, and other entities.

Key Responsibilities:
  • Negotiate managed care agreements with payors, health systems, IPA's, and other entities, including language and rate negotiation.
  • Gain a thorough understanding of various reimbursement strategies and analyze rate proposals.
  • Develop skills to identify unfavorable contract language in agreements.
  • Collaborate with the Manager of Contracting and Payor Relations to implement payor strategy.
  • Maintain a comprehensive knowledge of contractual agreements and specific contractual language with payors.
  • Work closely with credentialing to ensure demographic updates and needs related to contracting efforts are addressed.
  • Coordinate with Operations, legal, billing, and compliance teams to track and resolve payor issues, including payment and/or billing disputes.
  • Continuously improve processes to provide clear communication throughout the lifecycle of contracting efforts.
Requirements:
  • Bachelor's degree, required.
  • Degree in Health Care Administration, Managed Care Contracting, or similar degree, preferred.
  • Interest in Health Care operations, required.
Salary and Benefits:

The estimated salary for this position is $65,000 per year, based on national averages for a Payer Contracting Associate in the Chicago area. In addition to a competitive salary, we offer a range of benefits, including health insurance with dental and vision coverage, PTO with sick time, and a 401(k) plan with company match.



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