Senior Contracting Specialist

Job Summary

Seeking a Senior Contracting Specialist for a full-time remote position, this role will manage contract negotiation, analysis, and documentation for 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 to optimize rates
• Serve as a client-facing point of contact for assigned accounts, addressing escalated client concerns and maintaining relationships with payer contacts
• Analyze payer performance and payment variances to identify improvement opportunities and support the development of payer scorecards

Required qualifications

• 5+ years of experience in managed care/payer contracting on either the payer or provider side
• Demonstrated experience negotiating payer agreements and interpreting contract language
• Working knowledge of reimbursement methodologies, including FFS and value-based arrangements
• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience