Payer Contracting Specialist

2 weeks ago


Towson MD, United States Sheppard Pratt Full time
Payer Relations Manager Job Description

At Sheppard Pratt, we are seeking an experienced Payer Relations Manager to join our team. The successful candidate will have a strong background in provider/payer healthcare settings and excellent communication skills.

About the Role

This is a challenging opportunity for a highly motivated individual who is passionate about enhancing departmental operations, company growth, and revenue optimization. The Payer Relations Manager will provide guidance and support to internal stakeholders, utilizing their knowledge of health system payor/provider contracting, negotiations, and provider credentialing and enrollment activities.

Key Responsibilities
  • Supports the overall strategy of the Payer Contracting/Managed Care Department.
  • Provides guidance and support to internal stakeholders with the primary objective of enhancing departmental operations, company growth, and revenue optimization.
  • Maintains professional level knowledge of health system payor/provider contracting, negotiations, and provider credentialing and enrollment activities.
  • Has knowledge of healthcare financing principles and understanding of the MD All Payor system preferred.
Requirements

To be successful in this role, you will need:

  • A minimum of 7 years of experience in provider/payer healthcare settings.
  • Bachelor's degree required.
  • Proficient in Microsoft Word, Excel, and PowerPoint.
  • Project management or coordination experience.
  • Excellent at multi-tasking.
  • Ability to work well with all levels of the business.
  • Must possess advanced interpersonal and written communication skills.
What We Offer

We offer a comprehensive benefits package, including medical, dental, and vision benefits, as well as a 403b retirement match and generous paid-time-off for benefit-eligible positions. Additionally, we offer a complimentary Employee Assistance Program (EAP) and a generous mileage reimbursement program.

Salary Information

The estimated salary for this position is $80,000 - $110,000 per year, based on factors such as years and level of related experience. This is a competitive salary range for a Payer Relations Manager in the Baltimore area.



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