Payor Contract Compliance Specialist: Optimize Reimbursement

Kettering Health Network; Miamisburg (OH); On-site; USD 60,000 - 85,000; Full time

Job summary

Kettering Health Network in Miamisburg, OH is hiring a Payor Relations Contract Compliance Specialist on a full-time first-shift basis. The role focuses on ensuring contracts are compliant and optimized for reimbursement, while acting as a liaison with external payors.

Required: 3+ years in payor relations or contract compliance and a high school diploma; healthcare experience preferred. Strong analytical and communication skills are essential.

Qualifications

• High school diploma or equivalent.
• Minimum of 3 years of experience in payor relations, managed care contracting, contract compliance, or a similar role within a healthcare setting.
• Preferred CHC, AAHAM, or HFMA certification.

Responsibilities

• The Payor Relations Contract Compliance Specialist supports patient access and operational reliability by ensuring payor contracts are implemented, monitored, and maintained in compliance with regulatory and organizational standards.
• Serves as liaison between Kettering Health and external payors, analyzing contract terms and resolving compliance issues.
• Optimizes reimbursement processes while aligning all duties with Kettering Health's mission and B Safe program.

Skills

Analytical skills

Contract terms analysis

Communication skills

Stakeholder collaboration

HIPAA knowledge

MS Office

Contract management tools

Attention to detail

Multi-project prioritization

Education

High school diploma

Associate's degree in healthcare administration or related field

Tools

Microsoft Office Suite

Contract management systems

Job description

Kettering Health Network in Miamisburg, OH is hiring a Payor Relations Contract Compliance Specialist on a full-time first-shift basis. The role focuses on ensuring contracts are compliant and optimized for reimbursement, while acting as a liaison with external payors.

Required: 3+ years in payor relations or contract compliance and a high school diploma; healthcare experience preferred. Strong analytical and communication skills are essential.