Payor Strategy Contracts Lead (Remote)

TridentCare; Horsham (PA); Sur place; USD 70 000 - 105 000; Plein temps

Résumé du poste

TridentCare in Horsham, PA is seeking a Contract Coordinator to manage the end-to-end process of managed care contracts across the company’s payer network. You will work with the Sr.

Manager RCM, Payer Strategy and Sales to identify contracting opportunities and ensure profitability through accurate analysis and timely execution. You will maintain contract documents, support fee schedule updates, and coordinate with Billing A/R and internal teams to ensure compliance with regulatory

Qualifications

• 3 years contracting experience required.
• 4 years minimum experience in health care billing/accounting.
• High School Diploma required.
• Experience with contract management software preferred.

Responsabilités

• Manage the contractual process from submission to response for managed care proposals.
• Serve as primary liaison for regional payors per Sr. Manager guidance.
• Maintain electronic contract copies compliant with federal, state and local guidelines.
• Outline contract provisions and perform rate analysis for impact.
• Support reimbursement team with payor audits and inquiries.
• Review proposals with Sr. Manager for approval.
• Load and test fee schedules and filing formats with System Support.
• Communicate contract terms and fee schedules to internal departments.

Connaissances

Contract negotiation

Billing knowledge

Payer dynamics

Multitasking under deadlines

Formation

High School Diploma

Healthcare billing/accounting experience

Outils

Microsoft Office

Description du poste

TridentCare in Horsham, PA is seeking a Contract Coordinator to manage the end-to-end process of managed care contracts across the company’s payer network. You will work with the Sr.

Manager RCM, Payer Strategy and Sales to identify contracting opportunities and ensure profitability through accurate analysis and timely execution. You will maintain contract documents, support fee schedule updates, and coordinate with Billing A/R and internal teams to ensure compliance with regulatory