Manager Payer Contracting and Provider Enrollment
Tasks
- Conduct scenario analysis
- Coordinate provider onboarding process
- Develop rate proposals
- Draft contract language recommendations
- Hire train and coach staff
- Lead payer contract negotiations
- Maintain contract documentation
- Manage amendments and expirations
- Manage renewal calendars
- Perform financial modeling
- Review contract language
- Set provider enrollment performance metrics
- Supervise provider enrollment staff
- Support payer portfolio benchmarking
Perks/Benefits
Skills/Tech-stack
Benchmarking | CPT | Claims Processing | Contract Negotiation | Contract language | DRG | Enrollment compliance | Financial Modeling | HCPCS | Healthcare Analytics | ICD10 | Key Performance Indicators | Managed care | Medicaid MCO | Medicare Advantage | Payer Contract Negotiation | Per Diem | Performance indicators | Provider credentialing | Provider enrollment | Regulatory Compliance | Reimbursement Methodologies | Revenue Cycle | Scenario Analysis | Value-Based Care | Value-based
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
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