Payer Contracts Lead: Client Relations & Operations

Helms & Company, Inc.; Concord (NH); On-site; USD 80,000 - 110,000; Full time

Job summary

Helms & Company, Inc. in Concord, NH is seeking a Payer Contracts Manager to oversee operational and administrative aspects of payer contracting. This role involves direct client engagement with commercial payers, managing claims issues, and contract documentation. The ideal candidate will have over 5 years of experience in managed care or healthcare operations, alongside strong communication skills and a proactive approach to problem-solving. Familiarity with Excel is necessary for task execution.

Qualifications

• 5+ years of experience in managed care, healthcare payer relations, or provider contracting.
• Strong understanding of commercial insurance products and reimbursement methodologies.
• Experience working directly with hospitals or large provider organizations preferred.

Responsibilities

• Serve as the point of contact for consulting clients on managed care contract matters.
• Manage a high volume of healthcare payer contract-related inquiries.
• Monitor healthcare payer policy updates and communicate changes to clients.

Skills

Managed care

Healthcare payer relations

Provider contracting

Health insurance operations

Excel proficiency

Education

Bachelor’s degree in healthcare administration, business, health policy, or a related field

Job description

Helms & Company, Inc. in Concord, NH is seeking a Payer Contracts Manager to oversee operational and administrative aspects of payer contracting. This role involves direct client engagement with commercial payers, managing claims issues, and contract documentation. The ideal candidate will have over 5 years of experience in managed care or healthcare operations, alongside strong communication skills and a proactive approach to problem-solving. Familiarity with Excel is necessary for task execution.