Payer Strategy Physician Contract Specialist

CommonSpirit Health; Rancho Cordova (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Payer Strategy Physician Contract Specialist to join their dynamic team. This remote position is ideal for candidates in California with experience in physician contract negotiations. The role involves collaborating with various teams to ensure compliance and support Managed Care payer contract negotiations. You will review contract proposals, recommend improvements, and maintain documentation while adhering to guidelines. If you possess strong negotiation skills and a passion for healthcare, this opportunity allows you to contribute to innovative healthcare delivery.

Qualifications

• 1-2 years of physician contract negotiation experience; 3-5 years preferred.
• Knowledge of reimbursement and managed care operations.

Responsibilities

• Review and redline contract proposals for accuracy and compliance.
• Assist in updating project plans and meeting minutes.
• Communicate contract terms and maintain knowledge base.

Skills

Negotiation Skills

Project Management

Communication Skills

Financial Knowledge

Microsoft/Google Suite Proficiency

Education

High School Diploma

Bachelor's Degree

Job description

Payer Strategy Physician Contract Specialist

Join to apply for the Payer Strategy Physician Contract Specialist role at CommonSpirit Health.

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual services, CommonSpirit is accessible to nearly one in four U.S. residents. Our mission is to provide compassionate care, build healthy communities, advocate for the vulnerable, and innovate healthcare delivery both inside and outside hospitals.

Responsibilities

This is a remote position, preferably for candidates residing in California with relevant physician contract experience.

Job Summary

The Contract Specialist in Divisional Payers Payer Strategy & Relationships (PSR) collaborates with various teams to support Managed Care payer contract negotiations, ensuring compliance with standards and alignment with operational goals.

Job Responsibilities

• Review and redline contract proposals and rate sheets for accuracy and compliance.
• Recommend edits and improvements to contract documents.
• Assist in updating project plans, meeting minutes, and follow-up actions related to contract renewals.
• Ensure proper signing and documentation of amendments, LOAs, MOUs, and other contracts.
• Coordinate credentialing processes with Divisional PSR teams.
• Maintain an updated inventory of all CSH hospitals and related entities.
• Communicate contract terms, amendments, and policies effectively.
• Maintain a knowledge base with relevant financial and industry information.
• Adhere to contracting guidelines and support negotiations for hospital, physician, and ancillary services.

Qualifications

Minimum Qualifications

• High school diploma required; Bachelor’s degree or equivalent experience preferred.
• 1-2 years of physician contract negotiation experience; 3-5 years preferred.
• Knowledge of reimbursement, managed care operations, and financial aspects of contracting.
• Strong negotiation, project management, communication skills, and proficiency with Microsoft/Google Suite.

Pay Range

$27.77 - $40.27 per hour

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: Wellness and Fitness, Hospitals, Medical Practices

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