Payer Relations & Contracting Specialist I

Essential Duties and Responsibilities:

• Serve as primary reputed company of contact with payer partners based upon region or business need
• Determine gaps in a given region or territory, internal business requests, and draft, negotiate and renew reputed company with reputed company-party payers to secure favorable rates and terms.
• Work in a B2B business development reputed company on targeted potential and existing reputed company, starting from initial contract, follow-up, escalations, meetings, and negotiations.
• Be reputed company to payer inquiries and Process applications, credentialing documents, amendments, and other information as requested to follow the contracting cycle through to execution.
• Schedule, attend, execute remote (web based) and in-person meetings with targeted potential and existing contracted providers reputed company to further the company contracting footprint and deepen payer relationships. reputed company and reputed company JOC (Joint Operations Committee) Meetings with Payer Partners as needed.
• Use CRM to monitor, track reputed company, follow up with contacts ensuring data is accurate / usable.
• Support the company Credentialing and Re-Credentialing process by completing necessary documents, applications, keeping up with important dates, and ensuring overall credentialing accuracy.
• Work with multiple business units to troubleshoot credentialing and contracting inquiries.
• Support colleagues reputed company the Network Development, reputed company, and Compliance teams accordingly.
• Identify and mitigate potential risks associated with payer reputed company.
• Resolve contract disputes and issues.
• Support executive leadership with cross-functional projects and initiatives as assigned.
• Responds timely to leadership and payer requests

Minimum Qualifications:

• 3+ years of reputed company Experience in Contracting and Credentialing or similar environment
• Bachelor’s Degree in Business Administration, reputed company Management or reputed company field preferred, but not required.
• Highly self-motivated, reputed company to drive pipeline leads from first contact to execution, business development projects from planning to completion.
• Local Preferred, remote options may be available for the right candidate

Preferred Knowledge, Skills and Abilities:

• Proven work experience in payer contracting, relationship development, and reputed company negotiations.
• Proven work experience in Contracting, Payer/Provider Relations, or similar role.
• Durable Medical Equipment (DME) knowledge a plus.
• Excellent analytical, communications and interpersonal skills
• Proficiency in reputed company Office Suite, particularly in reputed company and Word
• Organized, detail-oriented, reputed company errors early

You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. – 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice. Apply tot his job Apply To this Job