Contracts and Payer Relations Specialist

Position Summary:

The Contract & Payer Relations Specialist provides operational support for the administration of the organization's contract portfolio, payer relations activities, contract implementation, reimbursement research, reporting, and contract management systems. The position supports the Contract & Payer Relations Manager in maintaining efficient contract operations, facilitating payer implementation activities, and supporting organizational growth initiatives.

This full time role pays $55,000 to $65,000 non-exempt and over time eligible.

This position is mostly remote in North Carolina with intermittent travel to our offices in the state. You must reside in a commutable distance to one of our office locations.

Essential Job Functions:

• Maintain and organize contract records, electronic files, databases, and supporting documentation. • Track contract renewals, amendments, notice periods, effective dates, and implementation requirements. • Coordinate contract routing, execution, and approval workflows. Maintain contract tracking tools and contract lifecycle management systems, including supporting implementation and ongoing administration of Contract Solutions. • Prepare contract summaries, reports, dashboards, and other management reporting tools. • Monitor payer communications, policy updates, reimbursement changes, and operational notices. • Support routine payer communications and issue resolution activities under the direction of the Contract & Payer Relations Manager. • Research contract provisions and gather supporting documentation to support management review, contract negotiations, and implementation activities. • Assist with resolving reimbursement and contract implementation issues. • Maintain reimbursement documentation and contract-related records, including distribution of executed contracts, amendments, and rate updates to appropriate internal stakeholders. • Coordinate communication of contract changes and reimbursement updates to impacted departments. • Collaborate with Operations, Revenue Cycle, Finance, Compliance, Credentialing, Quality Management, and program leadership to support contract administration activities. • Participate in EHR implementation activities related to contract documentation, operational readiness, workflow development, and coordination with internal stakeholders. • Assist with audits, compliance reviews, and departmental projects. • Perform other duties as assigned.

Minimum Qualifications:

• Associate's Degree in Business Administration, Healthcare Administration, Legal Studies, or related field; or equivalent combination of education and experience. • Three (3) years of experience in healthcare contracting, contract administration, payer relations, revenue cycle, healthcare operations, or related functions.