Senior Payer Contracts & Fee Schedules Lead

Beacon Behavioral Partners; Plano (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

Beacon Behavioral Partners is seeking a Senior Contract Management Coordinator to support the Managed Care/Payer Contracting team in Plano, TX. The role focuses on managing health plan contracts and fee schedules within contract management systems, coordinating with payer portals, and providing data-driven insights for renegotiations.

The position requires strong communication skills, knowledge of medical billing or insurance agreements, and proficiency with MS Office.

Qualifications

• High School Diploma required.
• College or paralegal certification preferred.
• Knowledge of medical billing/collection and/or insurance agreements is needed.
• Excellent written and verbal communication skills are required.
• Proficiency with MS Office (Excel, PowerPoint, Outlook).
• Ability to work under pressure while remaining professional.

Responsibilities

• Work with payer contracting team to manage health plan agreements in the contract management system, including storage of all payer agreements, amendments and associated fee schedules.
• Set up practices’ health plan contracts in contract management system and fee schedules in company systems.
• Outreach to health plans and use payer portals to ensure all agreements are accessible with current, historical and updated fee schedules including Medicare, Medicaid, Tricare, Commercial, etc.
• Provide updated health plan policies and rates to payer contracting and RCM analysts to model financial impact and update in company systems.
• Create reports and secure industry data to determine net effects of growth initiatives across the company including geographic and service expansion.
• Support renegotiation as needed and evaluate need for renegotiations annually.
• Perform comparisons of rates across states and within existing markets to provide support renegotiations and support integration.
• Assist in management of National Agreements, both related to delegated credentialing and reimbursement.
• Prep presentations for leadership related to payer contracting trends as needed.
• Payer/provider relations related to contract related issues and provider enrollment issues.
• Communicate effectively with payer contracting, credentialing, RCM and other teams as needed.
• Perform other work-related duties as assigned.

Skills

Billing knowledge

Insurance agreements

Written communication

Verbal communication

Time management

MS Office

Excel

PowerPoint

Outlook

Attention to detail

Multi-tasking

Customer service

Education

High School Diploma

Paralegal Certification / Some College preferred

Tools

MS Office Suite

Excel

PowerPoint

Outlook

Job description

Beacon Behavioral Partners is seeking a Senior Contract Management Coordinator to support the Managed Care/Payer Contracting team in Plano, TX. The role focuses on managing health plan contracts and fee schedules within contract management systems, coordinating with payer portals, and providing data-driven insights for renegotiations.

The position requires strong communication skills, knowledge of medical billing or insurance agreements, and proficiency with MS Office.