Lead, Contracts Review

Lincare; Largo (FL); On-site; USD 52,000 - 73,000; Full time

Job summary

A healthcare services provider in Largo, Florida is seeking an employee to assist the Supervisor and Manager of the Contract Review team. The role involves ensuring that contract analysts review payor contracts and update policy guidelines timely. You will identify payor changes, communicate effectively with payors, and deliver corporate directives related to policy changes. Candidates should be detail-oriented and effective communicators to thrive in a collaborative environment.

Responsibilities

• Assists in identifying payor changes that need to be addressed.
• Works with BIS, payor, and price table group to ensure payor policies are followed.
• Communicates with the payor regarding policy information.
• Delivers directives from corporate office regarding policy changes.

Job description

This employee assists the Supervisor and Manager of the Contract Review team to ensure that the Contract Review Analyst reviews payor contracts and information associated to contractual obligations, payor fee schedule changes, and posted policy updates for various payors.

• Works with Managed Care Contract Administrators, Payor and Price Table Team, and other required departments to ensure that policy guidelines and changes are updated accordingly and timely

Job Functions

• Assists in identifying payor changes that need to be addressed
• Works with BIS, payor, and price table group to ensure that payor policies are followed and updated according to payor guidelines once changes have been identified
• Communicates with the payor regarding policy information
• Delivers directives from corporate office as they apply to policy changes and updates