Payor Contract Manager Position Available In Fulton, Georgia

Payor Contract Manager IN Compass Health – 2.8 Alpharetta, GA Job Details Full-time $73,000 – $135,000 a year 1 day ago Benefits Profit sharing Health savings account Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Microsoft PowerPoint Clinic experience Mid-level Microsoft Office 3 years Analysis skills Bachelor’s degree Data entry Contracts Contract negotiation Communication skills Full Job Description

ABOUT THE POSITION

As a key member of IN Compass Health Revenue Cycle team, the Payer Contract Manager is responsible for the negotiation, organization and maintenance of all payer healthcare contracts. The position leads the contract process from pre-contract through post-signature, and closely collaborates with the sales team and internal departments to ensure staff are informed of new contracts, changes to existing contracts and updates to the medical and billing policies of the payers.

ABOUT OUR COMPANY IN

Compass Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.”‘

DUTIES & PRIORITIES:

Develop, negotiate, and maintain contracts with all payers, e.g., insurance companies, MSOs, IPAs, TPAs and government programs; Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements. There will be an emphasis on analyzing cost and utilization data; Facilitate payer contract documents from pre-contract through signature; Responsible for the accuracy of supporting documentation for contracts and completing documents accurately; Develop and maintain processes that provide timely notification of critical contract events (e.g., renewals, termination and due dates contained within the agreements); Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify possible opportunities for additional covered services, medical policy changes and reimbursement; Work with operational staff to develop action plans necessary to accomplish organizational goals. Coordinate and communicate contractual terms to the billing department; ensure staff is informed of changes in medical policy & billing policies; Conduct on-going assessments of assigned networks and make recommendations for strategic initiatives, goals, and objectives; Develop and maintain periodic, e.g., bi-weekly, reports on the status of all contracts; Assure accurate data entry of contract specifications and terms into database and completeness of all contracting processes; Assist Revenue Cycle Leadership team and CFO with payer issues as directed; Maintain excellent written and verbal communication with all internal and external customers; Effectively and professionally represent IN Compass Health to the payer community; Assist with all contracting administration and projects, as needed.

REQUIRED EDUCATION AND EXPERIENCE

Minimum of 3 years of relevant experience with hospital, clinic, physician, and/or primary care and health system contracting; Bachelor’s Degree or equivalent experience; Strong demonstrated knowledge and understanding of revenue cycle, healthcare industry, legal and regulatory requirements; Willingness to actively participate “hands-on” in all aspects of the contract administrative process. Exceptional and proven provider partnership skills and interpersonal skills; Excellent contract negotiation skills; Ability to develop and deliver presentations to internal and external groups; Results driven, persistent – able to self-direct and work independently showing initiative, while seeking guidance when appropriate; Ability to multi-task and be flexible in a fast paced and growing organization; Detail-orientated; Strong organizational and analytical skills; Demonstrated strength in computer software, e.g., MS Office Suite, PowerPoint, social media, and internet-based research.

BENEFITS & REWARDS

Competitive salary with bonus potential Health, Dental & Vision Insurance eligibility in just 30 days Company paid Life & Disability Insurance Flexible spending & Health Savings Accounts Employee Assistance Program 401k with Profit Sharing match Paid Time off

KEYWORDS

Healthcare Contract Provider Contracting Contract Administration Medicare Medicaid Financial Analysis Contract Negotiation Contract preparation

Implementation Job Type:

Full-time Pay:

$73,000.00 – $135,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Day shift Monday to Friday Application Question(s): Do you have at least 3 years of Payor Contracting experience in the medical field? Ability to

Commute:

Alpharetta, GA 30009 (Required) Ability to

Relocate:

Alpharetta, GA 30009: Relocate before starting work (Preferred)

Work Location:

In person