Jobs · Legal · New Jersey

Contracting Specialist

PRISM Vision Group · New Providence, NJ · 2 wk ago
On-siteLegal$60k–$85k/yrContract

About the role

This exempt, HYRBID role is located at our New Providence CBO location. Travel: minimal travel may be needed during specific times throughout the year. We are seeking a detail-oriented contracting professional for a hands-on role supporting payer contracting and reimbursement activities across our multistate medical practice. This role is important to support accurate contract documentation, timely payer follow-up, reimbursement tracking, and strong working relationships with payers. This individual will assist with payer contract administration, fee schedule tracking, payer inquiries, credentialing follow-up, contract implementation, payer issue tracking, and communication of payer policy updates across the organization. The position works closely with the VP of Payer Relations and Contracting, revenue cycle, credentialing, finance, operations, legal, and practice leadership to help ensure payer agreements and requirements are appropriately documented, communicated, and maintained. This position reports to the VP of Payer Relations and Contracting.

Pay

Compensation Range: $60,000.00 - $85,000.00/annual (Commensurate with experience, qualifications, and demonstrated healthcare payer contracting, reimbursement, provider relations, contract administration, and analytical experience.)

Responsibilities

  • Contract Strategy and Support: Support payer contracting activities for commercial insurers, Medicare Advantage plans, Medicaid MCOs, and other payers.
  • Assist with review and organization of payer agreements, amendments, fee schedules, letters of agreement, single case agreements, and related contract documents.
  • Prepare basic contract summaries, payer follow-up items, and open issue trackers for leadership review.
  • Track contract effective dates, renewal dates,

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