Manager Payer Contracting and Provider Enrollment
Tasks
- Develop rate proposals
- Draft and review contract language
- Evaluate reimbursement methodologies
- Lead payer contract negotiations
- Maintain contract documentation and renewal calendars
- Manage provider enrollment process
- Oversee enrollment records and issue resolution
- Perform financial modeling and scenario analysis
- Set provider enrollment performance metrics
- Supervise provider enrollment team
Perks/Benefits
Skills/Tech-stack
Benchmarking | CPT | Carve-outs | Claims Processing | Contract Negotiation | Contract development | DRG | Enrollment Records Management | Financial Modeling | HCPCS | ICD-10 | Managed care | Per Diem | Performance Metrics | Provider credentialing | Provider enrollment | Records management | Reimbursement Methodologies | Revenue Cycle | Scenario Analysis | Value-Based Care | Value-based
Education
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