Managed Care Payer Relations Specialist

2 days ago


Owings Mills, Maryland, United States LifeBridge Health Full time
Job Summary:

As a seasoned Managed Care Payer Relations and Contracting Specialist, you will provide expert contracting negotiation skills and subsequent implementation and ongoing operational support for LifeBridge Health entities. You will serve as an internal liaison and resource for LBH staff and physicians, as well as an external liaison with payer representatives to resolve operational and contractual issues.

Key Responsibilities:
  • Provide project support and act as an internal liaison and resource for LBH staff and physicians
  • Act as an external liaison with payer representatives for resolution of operational and contractual issues
  • Negotiate contracts with payers, including financial analysis and contract language
  • Lead and negotiate with various provider types, such as Ambulatory Surgery, Hospice, Home Health, Physicians, Skilled Nursing, Urgent Care, and other ancillary services
  • Develop and implement strategic plans to improve payer relations and contracting
  • Build collaborative relationships internally and externally to drive business growth and success
Requirements:
  • 5-7 years of experience in payer negotiation, including financial analysis and contract language
  • Advanced Excel skills
  • Ability to lead and negotiate with various provider types
  • Strategic planning experience
  • Ability to build collaborative relationships internally and externally
  • Market/Insurance landscape knowledge, including Commercial (HMO/ASO/EPO/PPO), Medicaid, and Medicare Advantage
Preferred Qualifications:
  • Master's degree or equivalent experience
  • Knowledge in more than one discipline


  • Owings Mills, Maryland, United States United Urology Group Full time

    Job Title: Patient Relations SpecialistAre you passionate about delivering exceptional patient care and service? Do you have a knack for resolving complex issues and providing empathetic support? We're seeking a highly skilled Patient Relations Specialist to join our team at United Urology Group.Job Summary:The Patient Relations Specialist plays a vital role...

  • Guest Care Specialist

    3 weeks ago


    Owings Mills, Maryland, United States Monro, Inc. Full time

    {"Job Title": "Guest Care Specialist", "Job Summary": "We are seeking a highly skilled Guest Care Specialist to join our team at Monro, Inc.As a Guest Care Specialist, you will be responsible for providing exceptional customer service and ensuring a positive experience for our guests. You will be the first point of contact for customers on the phone and in...


  • Owings Mills, Maryland, United States LifeBridge Health Full time

    Job Summary:The AR Follow Up Specialist is responsible for the efficient use of various internal Revenue Cycle systems and performs tasks for claims processing, registration, and billing edits, claim edits, and payer rejections. This role involves following up on unpaid claims to collect money due, researching, appealing, and resolving denials and payment...


  • Owings Mills, Maryland, United States RadNet Full time

    Job Description**About RadNet**At RadNet, we are committed to delivering exceptional patient care and advancing the field of radiology. Our team of dedicated professionals is passionate about providing world-class services and driving innovation in the industry.**Job Summary**We are seeking a highly skilled Revenue Cycle Operations Specialist to join our...


  • Owings Mills, Maryland, United States LifeBridge Health Full time

    JOB SUMMARY:The AR Follow Up Specialist is responsible for optimizing the utilization of internal Revenue Cycle systems and executing tasks for claims processing, registration, and billing edits, claim edits, and payer rejections.Key Responsibilities:\u2022 Follow up on unpaid claims to collect money due.\u2022 Research, appeal, and resolve denials and...


  • Owings Mills, Maryland, United States 2nd Family Home Health Services Full time

    Home Care Specialist OpportunityWe are seeking a compassionate and dedicated CNA to provide high-quality care to our clients in the comfort of their own homes. As a Home Care Specialist, you will have the opportunity to make a meaningful difference in the lives of our clients and their families.Key Responsibilities:Provide personal care and assistance to...

  • Social Worker

    2 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing exceptional care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive comprehensive, family-oriented services in the comfort of their own homes.Key Responsibilities:Assess...

  • Social Worker

    3 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing compassionate and high-quality care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive the support and services they need to live their lives to the fullest.Key...

  • Dietitian Specialist

    4 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Nutrition Support SpecialistJoin LifeBridge Health, a leading healthcare provider in Maryland, as a Nutrition Support Specialist. In this role, you will work collaboratively with our clinical team to provide high-quality nutrition support to patients.Key Responsibilities:Conduct initial and ongoing nutritional assessments to identify patient needs.Develop...


  • Owings Mills, Maryland, United States LifeBridge Health Full time

    Diagnostic Ultrasound Specialist PRNJoin LifeBridge Health as a Diagnostic Ultrasound Specialist PRN and contribute to the delivery of exceptional patient care in our Perinatology FPP department.Key Responsibilities:Perform diagnostic tests and scanning procedures utilizing ultrasound systems to assist physicians with diagnostic and therapeutic...

  • Social Worker

    3 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing compassionate and high-quality care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a critical role in ensuring that our patients receive the support and services they need to live their lives to the fullest.Key...

  • Social Worker

    3 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing compassionate and comprehensive care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive the highest level of care and support during their end-of-life journey.Key...

  • Social Worker

    3 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing exceptional care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive comprehensive, family-oriented services in the comfort of their own homes.Key Responsibilities:Assess...

  • Social Worker

    4 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing exceptional care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive comprehensive, family-oriented services in the comfort of their own homes.Key Responsibilities:Assess...

  • Social Worker

    4 weeks ago


    Owings Mills, Maryland, United States LifeBridge Health Full time

    Social Worker - Hospice Care SpecialistAt LifeBridge Health, we are committed to providing compassionate and high-quality care to our patients and their families. As a Social Worker - Hospice Care Specialist, you will play a vital role in ensuring that our patients receive the support and services they need to live their lives to the fullest.Key...


  • Owings Mills, Maryland, United States LifeBridge Health Full time

    Diagnostic Ultrasound SpecialistLifeBridge Health is seeking a skilled Diagnostic Ultrasound Specialist to join our team.Job Summary:Under moderate supervision, performs diagnostic tests and scanning procedures utilizing ultrasound systems to assist physicians with diagnostic and therapeutic interventions; performs duties of Ultrasound Technologist as it...


  • Owings Mills, Maryland, United States LifeBridge Health Full time

    Diagnostic Imaging SpecialistLifeBridge Health is seeking a skilled Diagnostic Imaging Specialist to join our team in Owings Mills, MD.Job Summary:Under moderate supervision, performs diagnostic tests and scanning procedures utilizing ultrasound systems to assist physicians with diagnostic and therapeutic interventions; performs duties of Ultrasound...


  • Owings Mills, Maryland, United States STV Full time

    Project Controls SpecialistSTV is seeking a detail-oriented and proactive Project Controls Specialist with a strong background in administrative support to join our team in Maryland. The ideal candidate will be responsible for coordinating and supporting various project control activities, ensuring projects are executed efficiently and effectively. This role...

  • Dental Specialist

    1 month ago


    Owings Mills, Maryland, United States Dental Care Alliance Full time

    Job SummaryWe are seeking a skilled and passionate Periodontist to join our team at Dental Care Alliance. As a Periodontist, you will be responsible for providing specialized clinical care to patients, educating them on oral health and treatment options, and collaborating with our team to deliver exceptional patient care.Key ResponsibilitiesProvide...


  • Owings Mills, Maryland, United States Dex Imaging Full time

    Job Title: Technical Systems SpecialistThe Technical Systems Specialist is a key member of our team at Dex Imaging, responsible for the on-site installation, utilization, and maintenance of computer network connected imaging devices. This role requires a high level of technical expertise, excellent communication skills, and the ability to work...