Contracting and Payor Relations Specialist
- Identifies, analyzes, and manages payor projects, as assigned, such as auditing contract provisions, completing credentialing requests, interdepartmental work groups, negotiations and maintenance of payor contracts and legal files.
- Understands legal terms and concepts related to contracting; Must be able to research state and federal laws and statute and interpret their meaning and use in Managed Care contracts.
- Negotiates Single Case Agreements with Payers as may be required.
- Own the credentialing process for each payor and submit all relevant information timely.
- Minimum Education: HS Diploma or equivalent Required
- 10+ years of experience.
- Previous experience in health care business office, contracting or payer organization Required
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