Healthcare Contracts Supervisor

BD; Connecticut; Sur place; USD 75 000 - 105 000; Plein temps

Résumé du poste

BD is seeking a Contract Administration Supervisor to oversee application, credentialing and health plan filing processes and to guide payor escalations, while ensuring timely responses and adherence to policies.

You will review contracts, maintain records, and support a database of contractual requirements, with oversight of vendor relationships and internal communications across departments.

Qualifications

• High School Diploma or GED required.
• Minimum 2 years of healthcare credentialing/provider enrollment/payor contracting experience.
• Minimum 1 year of supervisory or team lead experience.
• Experience with health plan filing and state licensing requirements.
• Working knowledge of CAQH and PECOS enrollment systems.
• Strong contract interpretation and analytical skills.

Responsabilités

• Manage application, credentialing and health plan filing processes.
• Provide guidance for payor escalations and contract terms questions.
• Maintain current records safeguarding confidential information.
• Review payer contracts and prepare worksheets for legal review.
• Support database of provider obligations and payer requirements.
• Maintain payer participation directories and fee schedules.
• Distribute payer manuals and updates to departments.
• Oversight of vendor relationships for credentialing/licensure.
• Maintain website access for company users.
• Track daily productivity and deadlines.
• Lead meetings and communications with stakeholders.
• Maintain all contract filing records.

Connaissances

Contract analysis

Payer contracting

Data entry

MS Office

Attention to detail

Formation

Associate's degree or higher in Business/Healthcare Administration

CPCS or CPMSM certification preferred

Outils

CAQH

PECOS enrollment

MS Access

Excel

Description du poste

BD is seeking a Contract Administration Supervisor to oversee application, credentialing and health plan filing processes and to guide payor escalations, while ensuring timely responses and adherence to policies.

You will review contracts, maintain records, and support a database of contractual requirements, with oversight of vendor relationships and internal communications across departments.