Senior Contracting Specialist

Job Summary

Experienced in payer contracting, the full-time remote Senior Contracting Specialist will manage contract negotiations, analysis, and documentation for a portfolio of provider clients, while resolving escalated client concerns related to payer contracts and reimbursement.

Key responsibilities

• Conduct contract negotiation discussions with payers and develop negotiation materials, including rate benchmarking and financial impact summaries
• Act as a client-facing point of contact for assigned accounts, fielding and resolving escalated client concerns related to payer contracts
• Analyze payer performance and denial trends to identify improvement opportunities and support the development of payer scorecards and KPIs

Required qualifications

• 5+ years of experience in managed care or payer contracting, either on the payer or provider side
• Demonstrated experience negotiating payer agreements and interpreting contract language
• Working knowledge of reimbursement methodologies, including FFS, RBRVS, capitation, and value-based arrangements
• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience
• Ability to operate under pressure and manage multiple concurrent negotiations effectively