Non-Par Provider Contracting Advisor

Job Summary

A company is looking for a Non-Par Provider Contracting Advisor.

Key Responsibilities

• Track and trend PMHS program performance and resolve pricing issues
• Coordinate resolution of aged and outstanding vendor claims
• Develop and maintain vendor reconciliation processes for accurate claim processing

Required Qualifications

• Bachelor's degree preferred
• Minimum 10 years of industry experience
• Strong knowledge of claims engines and out-of-network programs
• PMHS claim engine experience required; ProClaim and Facets preferred
• Healthcare industry experience required; OON expertise strongly preferred