Senior Contract & Payor Relations Specialist

Jobtailor

Raleigh (NC)

On-site

USD 65,000 - 95,000

Full time

3 days ago
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Job summary

Jobtailor is seeking a detail-oriented Contracts Coordinator to manage vendor and payor contracts, credentialing, and regulatory compliance. You will maintain the contract system, ensure timely credentialing, and align contract terms with organizational goals across payor and vendor relationships.

The role requires 3-5 years in contract drafting/negotiation, strong MS Word/Excel/Outlook skills, and a commitment to HIPAA compliance.

Qualifications

  • Bachelor’s degree preferred.
  • 3-5 years’ experience in contract drafting and/or negotiation preferred.
  • Proficiency in Microsoft Word, Excel and Outlook required.
  • Teamwork and communication skills are essential.
  • Attention to detail required.
  • Prioritizing and excellent organizational skills required.
  • Ability to concentrate with large volumes of paperwork and data entry.
  • Ability to work independently and manage time appropriately.
  • HIPAA policies and procedures compliance required.

Responsibilities

  • Support review, editing, negotiation, maintenance, and management of vendor and payor contracts and the Contract System
  • Update, submit, and maintain payor credentialization accurately and on time
  • Ensure timely compliance and validations with PECOS, NPPES NPI Registry, Medicare, Medicaid, Secretary of State filings, and state health and business license requirements
  • Assist with establishing and maintaining payor and vendor contracts
  • Assist with executing the organization’s annual payor relations strategy
  • Work with internal Operations and Clinical teams to ensure accurate execution of contract terms
  • Review current contracts to align terms with organizational goals
  • Research payors in current and new service areas and recommend regional payor mix
  • Coordinate and prepare documentation for entering new service areas
  • Communicate necessary payor changes to supply vendors
  • Maintain the contract tracker and Contract Management tool
  • Prepare for Payor Alignment Meetings and communication updates
  • Assist with Medicare and Medicaid credentialing
  • Prepare agency initial license applications and annual renewal packages
  • Prepare state business license applications and annual renewal packages
  • Maintain NPPES NPI Registry, Secretary of State filings, and PECOS for all agencies
  • Request Tax EINs for new agencies as needed
  • Complete JARS and ORS Reporting for South Carolina
  • Plan and prioritize work activities for productivity and efficiency
  • Complete assignments accurately with minimal supervision
  • Serve on committees and councils as assigned
  • Mentor and support other contracts team members
  • Participate in community outreach activities
  • Maintain confidentiality in accounting and all other areas

Skills

Contract Drafting
Vendor Management
Payor Credentialing
Microsoft Office Suite
HIPAA Compliance
Attention to Detail
Organizational Skills
Judgment

Education

Bachelor’s degree

Tools

Contract Management Tool
NPPES NPI Registry
PECOS
Secretary of State Filings
Microsoft Word
Microsoft Excel
Microsoft Outlook

Job description

Jobtailor is seeking a detail-oriented Contracts Coordinator to manage vendor and payor contracts, credentialing, and regulatory compliance. You will maintain the contract system, ensure timely credentialing, and align contract terms with organizational goals across payor and vendor relationships.

The role requires 3-5 years in contract drafting/negotiation, strong MS Word/Excel/Outlook skills, and a commitment to HIPAA compliance.

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