Contracting and Payor Relations Specialist

Contracting and Payor Relations Specialist Lynn Community Health Center - 3.5 Lynn, MA Job Details Part-time $60,000 - $70,000 a year 2 days ago Qualifications Contract documentation review Contract management Contract review Contract management in healthcare Regulatory legal research High school diploma or GED Legal research Contract negotiation Senior level 10 years Full Job Description Contracting and Payor Relations Specialist The primary purpose of this job is to manage payor relations between Lynn Community Health, Inc and insurance companies. This individual will review contracts, conduct analysis, negotiation, implementation, payer relations, and payor credentialing for the health center.

Responsibilities:

Identifies, analyzes, and manages payor projects, as assigned, such as auditing contract provisions, completing credentialing requests, interdepartmental work groups, negotiations and maintenance of payor contracts and legal files. Understands legal terms and concepts related to contracting; Must be able to research state and federal laws and statute and interpret their meaning and use in Managed Care contracts. Negotiates Single Case Agreements with Payers as may be required. Own the credentialing process for each payor and submit all relevant information timely.

Qualifications :

Minimum Education:

HS Diploma or equivalent Required 10+ years of experience. Minimum Work Experience Previous experience in health care business office, contracting or payer organization Required