Remote Contract Implementation Lead (Payer Compliance)

Coloplast; Town of Florida (NY); On-site; USD 63,877 - 95,816; Full time

Benefits offered by this job

Health and Wellness

Financial Security

Work-Life Balance

Professional Development

Recognition and Rewards

Community and Culture

Competitive Compensation

Job summary

Coloplast is seeking a Contract Implementation Manager in the United States to serve as the central contact for contracting, credentialing, revenue cycle management, and audits. You will ensure timely execution and operationalize payer regulations while monitoring contract performance to achieve business goals.

The role requires 2+ years in payer contracting or related fields, with potential for travel and a focus on DME industry rules.

Qualifications

• Associate’s degree in business or related field and/or 2 years’ experience in payer contracting, contract management, or healthcare revenue cycle management with a multi-state DME supplier.
• Strong competency of the US healthcare and payer rules specifically related to DME.
• Proven ability to establish and foster stakeholder relationships.
• Position requires approximately 10% travel.
• Bachelor’s degree in business preferred.
• Experience with payer policy review and implementation.
• Experience working with Brightree DME software.
• 5+ years’ experience working in DME.
• Proven ability to work in a remote high paced environment.

Responsibilities

• Create a contract implementation strategy with cross‑functional teams to ensure successful implementation and timely completion.
• Conduct financial and utilization analysis, develop implementation plans, and establish deployment KPIs and timelines.
• Present strategy plans or analyses to leadership.
• Perform due diligence of payer guidelines and internalize to ensure prompt and accurate payment.
• Monitor payer-related changes and communicate them internally.
• Maintain working knowledge of company operations and services for financial success.
• Coordinate with internal stakeholders to meet organizational requirements and update progress.
• Manage payer files including contracts and fee schedules in paper and electronic form.
• Lead annual payer attestations and trainings.

Skills

Payer contracting

Contract management

Healthcare revenue cycle management

Stakeholder relationships

Travel willingness

Education

Associate’s degree in business or related field

Bachelor’s degree in business

Tools

Brightree DME software

Job description

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The Contract Implementation Manager is responsible for serving as the central point of contact for all parties involved, including, but not limited to Contracting, Credentialing, Revenue Cycle Management and Audit teams in the process, and is ultimately responsible for ensuring timely execution, discovery and operationalizing of all payer regulations, and secure storage of all payer contracts for the company. The position will also be responsible for monitoring the performance of each contract to ensure that business goals are accomplished by the proper contract implementation.

Major Areas of Accountability

• (Collaborating with various company teams and leadership to create a contract implementation strategy that ensures successful implementation with effective resource utilization and timely completion
• Conducting financial and utilization analysis, creating comprehensive and collaborative implementation plans, establish deployment KPI’s, timelines, and communication cadence
• Will be expected to present strategy plans or analysis to leadership
• Performing appropriate due diligence of payer guidelines, and operationalizing such that ensure prompt and accurate payment scenarios for company
• Staying abreast of, and providing timely internal communication to changes in payer regulations
• Developing and maintaining working knowledge of company operations and service offerings; leverages industry understanding to effectively position company for financial success
• Communicating with internal teams and customers on a regular basis to update progress and drive accountability to meet timelines
• Managing payer files to include payer contract, fee schedules and other related documents in both paper and electronic form
• Working cross functionally with internal stakeholders to support organizational requirements
• Functioning as primary responsible party for annual payer attestations and trainings
• Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the MedTech Code of Conduct, and company policies.
• Other job duties as assigned.

Basic Qualifications

• Associate’s degree in business or related field and/or 2 years’ experience in either payer contracting, contract management, or healthcare revenue cycle management with a multi-state Durable Medical Equipment Supplier (DME)
• Strong competency of the US healthcare and payer rules specifically related to DME
• Proven ability to establish and foster stakeholder relationships
• Position requires approximately 10% travel

Preferred Qualifications

• Bachelor’s degree in business
• Experience with payer policy review and implementation
• Experience working with Brightree DME software
• 5+ years’ experience working in DME
• Proven ability to work in a remote high paced environment
  

  At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

  • Health and Wellness:Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
  • Financial Security:A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
  • Work-Life Balance:Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
  • Professional Development:Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
  • Recognition and Rewards:Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
  • Community and Culture:A supportive work environment where everyone feels valued and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
  • Competitive Compensation:The compensation range for this position is $63,877 - $95,816. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location. Hired candidates may be eligible to receive additional compensation in the form of bonuses and/or incentives.

Comfort Medical provides an extensive selection of name brand catheter and ostomy supplies to thousands of customers nationwide. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!

Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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Nearest Major Market: Fort Lauderdale
Nearest Secondary Market: Miami