Payer Contract Management
What your contract specialist will do?
- Serve as primary intake contact for payer agreements and manage each contract’s lifecycle.
- Assist with initial contracting/participation requests for chosen entities,
- Handle inquiries about contracts and the contracting process in a timely fashion.
- Organize, update, and manage documents using contract trackers and databases.
- Ensure current and historical records are created and retained properly and maintain current contracts, files, and records.
- Complete applications on all incoming payer, school, and regional center agreements.
- Be responsible for tracking contract approvals, coordinating wet or electronic signatures, and implementation of agreements.
- Work closely with Director to ensure the efficiency of processes and create new workflows and/or tools, as needed, and proactively seek innovative ways to streamline operations and follow through on implementing new processes as needed.
- Assist with contract renegotiations, working with applicable leadership to respond to opportunities for improvement in contract terms and rates.
- Research payer market share, products and contracting processes for potential out-of-state expansions.
- Acts as liaison between payers, physician groups, and other related payer organizations to ensure all aspects of payer relationships are maintained and managed effectively.
- Communicate and educate applicable staff regarding key aspects of new and modified payer contracts.
- Manage and update contract terms and renewal dates in contracting systems to ensure timely renewals.
- Monitoring contract status, implementation, and internal coordination of contract agreements.
- Monitor payer websites to confirm that entities are appropriately and accurately listed.
