Payer Contracting & Reimbursement Specialist

US Oncology Inc.; New Providence (NJ); Hybrid; USD 60,000 - 85,000; Full time

Job summary

US Oncology Inc. is seeking a detail-oriented contracting professional to support payer contracting, reimbursement activities, and contract administration across multistate care sites. The role emphasizes accurate documentation, timely payer follow-up, and cross-functional collaboration with revenue cycle, credentialing, finance, and legal teams.

The position reports to the VP of Payer Relations and Contracting, with a hybrid work arrangement at the New Providence CBO location and minimal travel.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, public administration, management, or related field.
• 2–4 years of experience in healthcare payer contracting, managed care, provider relations, reimbursement, revenue cycle, credentialing, or contract administration.
• Familiarity with commercial, Medicare Advantage, and Medicaid managed care payer arrangements.

Responsibilities

• 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 item trackers for leadership review.
• Track contract effective dates, renewal dates, termination notice requirements, amendment history, fee schedules, and payer-specific requirements.
• Coordinate routine payer communication related to contract status, amendments, fee schedules, credentialing, roster updates, and implementation.
• Assist with payer inquiries, claims issues, payment discrepancies, credentialing delays, provider roster issues, and contract loading problems.

Skills

Payer contracting

Healthcare reimbursement

Analytical skills

Communication

Organization

Microsoft Excel

Education

Bachelor's degree in healthcare administration or related field

Tools

Microsoft Excel

Contract management tools

Job description

US Oncology Inc. is seeking a detail-oriented contracting professional to support payer contracting, reimbursement activities, and contract administration across multistate care sites. The role emphasizes accurate documentation, timely payer follow-up, and cross-functional collaboration with revenue cycle, credentialing, finance, and legal teams.

The position reports to the VP of Payer Relations and Contracting, with a hybrid work arrangement at the New Providence CBO location and minimal travel.