Strategic Contract Implementation Lead

Ellenco Estágios e Treinamentos; Florida; On-site; USD 64,000 - 96,000; Full time

Benefits offered by this job

Health, dental and vision insurance

401(k) with company match

Paid time off

Wellness programs

Job summary

Comfort Medical is seeking a Contract Implementation Manager to serve as the central point for contracting, credentialing, revenue cycle management and audits, ensuring timely execution and secure storage of payer contracts. You will monitor contract performance and develop implementation plans with KPIs while presenting analyses to leadership.

This role requires cross-functional collaboration and approximately 10% travel; we offer a comprehensive rewards package and a focus on ethical standards

Qualifications

• Associate’s degree in business or related field and/or 2years’ 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

Responsibilities

• 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

Skills

Stakeholder relationships

US healthcare rules

Travel ~10%

Education

Associate’s degree in business or related field

Bachelor’s degree in business

Tools

Brightree DME software

Job description

Comfort Medical is seeking a Contract Implementation Manager to serve as the central point for contracting, credentialing, revenue cycle management and audits, ensuring timely execution and secure storage of payer contracts. You will monitor contract performance and develop implementation plans with KPIs while presenting analyses to leadership.

This role requires cross-functional collaboration and approximately 10% travel; we offer a comprehensive rewards package and a focus on ethical standards