Remote Payer Relations & SCA Specialist

Johns Hopkins HealthCare LLC; Washington (District of Columbia); Remote; USD 43,000 - 72,000; Full time

Job summary

Johns Hopkins Health System is seeking a full-time professional to manage Single Case Agreements (SCAs) and payer contracts for both contracted and non-contracted payors. You will coordinate SCA reviews, ensure contract documentation is complete, and provide guidance on managed care processes to internal stakeholders.

The role emphasizes collaboration across units, maintaining data integrity, and staying current with regulatory and payer requirements.

Qualifications

• Experience in payer relations or contract management required.
• Good written and verbal communication with emphasis on confidentiality and diplomacy.
• Strong attention to detail and data integrity, self-directed.

Responsibilities

• Negotiate and manage Single Case Agreements (SCAs) and payer contracts for contracted and non-contracted payors.
• Coordinate identification and follow-up of non-contracted patient cases requiring SCA review.
• Oversee SCA documentation, payer contract implementation and compliance, and education materials.

Skills

Payer relations

Contract management

Communication skills

Attention to detail

Discretion/confidentiality

Education

Bachelor's Degree in business administration or healthcare administration

Job description

Johns Hopkins Health System is seeking a full-time professional to manage Single Case Agreements (SCAs) and payer contracts for both contracted and non-contracted payors. You will coordinate SCA reviews, ensure contract documentation is complete, and provide guidance on managed care processes to internal stakeholders.

The role emphasizes collaboration across units, maintaining data integrity, and staying current with regulatory and payer requirements.