Contract Implementation Administrator

About the role

The Contract Implementation Manager is responsible for serving as the central point of contact for all parties involved, including, but not limited to Contracting, Credentialing, Revenue Cycle Management and Audit teams in the process, and is ultimately responsible for ensuring timely execution, discovery and operationalizing of all payer regulations, and secure storage of all payer contracts for the company.

Responsibilities

• Collaborating with various company teams and leadership to create a contract implementation strategy that ensures successful implementation with effective resource utilization and timely completion
• Conducting financial and utilization analysis, creating comprehensive and collaborative implementation plans, establishing deployment KPI’s, timelines, and communication cadence
• Presenting strategy plans or analysis to leadership
• Performing appropriate due diligence of payer guidelines, and operationalizing such that ensure prompt and accurate payment scenarios for company
• Staying abreast of, and providing timely internal communication to changes in payer regulations
• Developing and maintaining working knowledge of company operations and service offerings; leveraging industry understanding to effectively position company for financial success
• Communicating with internal teams and customers on a regular basis to update progress and drive accountability to meet timelines
• Managing payer files to include payer contract, fee schedules and other related documents in both paper and electronic form
• Working cross-functionally with internal stakeholders to support organizational requirements
• Functioning as primary responsible party for annual payer attestations and trainings

Requirements

• Associate’s degree in business or related field and/or 2 years’ experience in either payer contracting, contract management, or healthcare revenue cycle management with a multi-state Durable Medical Equipment Supplier (DME)
• Strong competency of the US healthcare and payer rules specifically related to DME
• Proven ability to establish and foster stakeholder relationships

Qualifications

• Bachelor’s degree in business
• Experience with payer policy review and implementation
• Experience working with Brightree DME software
• 5+ years’ experience working in DME
• Proven ability to work in a remote high paced environment

Skills

• Strong competency of the US healthcare and payer rules specifically related to DME
• Proven ability to establish and foster stakeholder relationships

Benefits

Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.

Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.

Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.

Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.

Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.

Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.

Competitive Compensation: The compensation range for this position is $63,877 - $95,816. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.

Pay

Competitive Compensation: The compensation range for this position is $63,877 - $95,816. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.

Schedule

Not specified