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Payer Contracting Specialist
2 months ago
We are seeking a highly skilled Payer Contracting Specialist to join our team at USA Clinics Group. This role will be responsible for negotiating managed care agreements with payors, health systems, and other entities, as well as analyzing rate proposals and identifying unfavorable contract language.
Key Responsibilities- Negotiate and manage contracts with payors, health systems, and other entities to ensure favorable terms and rates.
- Analyze rate proposals and identify opportunities for cost savings and revenue growth.
- Collaborate with internal teams to ensure contract commitments are operationalized and that contracting efforts align with company goals.
- Develop and maintain a thorough operational knowledge of contractual agreements and specific contractual language with payors.
- Coordinate with credentialing and other departments to ensure demographic updates and needs are met.
- Proactively monitor and report current contracting efforts to leadership and other stakeholders.
- Bachelor's degree, required.
- At least 1-3 years of managed care contracting experience, preferably with a provider, required.
- Prior healthcare provider or health plan contracting, contract operations, service operations, or provider relations experience, required.
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- A dynamic and supportive work environment.
