Job details

Payer Contracting Associate

The Payer Contracting Associate partners with the Manager of Contracting and Payor Relations on the implementation of payor strategy, focusing on payor operations, client services, and process improvement. The focus of this role is network development/contracting. In addition, this role ensures resolution of payor issues received from the field, leadership, or other internal departments, tracking of opportunities, and continual documentation and improvement of processes. This is an entry-level position. Training is available for this role.

This position works onsite in our Northbrook, Illinois corporate office. Remote work is not an option.

Responsibilities

Assist with negotiation of managed care agreements with payors, health systems, IPA’s and other entities Including language and rate negotiation.
Gain working knowledge of various reimbursement strategies and ability to analyze rate proposals.
Develop ability to identify unfavorable contract language in agreements.
Assist with implementation of payor strategy in partnership with the Manager of Contracting and Payor Relations.
Maintains a thorough operational knowledge of contractual agreements and specific contractual language with Payors.
Coordinate with credentialing regarding demographic updates and needs related to contracting efforts.
Collaborates with Operations, legal, billing, and compliance to track and resolve payor issues, including payment and/or billing disputes.
Continually create, document, and improve processes to provide clear communication throughout the lifecycle of contracting efforts.
Manages contract assignments and any documentation relevant to the negotiation, strategy, and/or implementation of the contract.
Proactively monitor and report on current contracting efforts.
Partner with internal team to ensure that contracting efforts align with company and divisional goals.
Communicate with relevant stakeholders to ensure contract commitments are operationalized.
Additional duties as assigned

Bachelor’s degree, Required
Degree in Health Care Administration, Managed Care Contracting or similar degree Preferred
Interest in Health Care operations Required

This position works onsite in our Northbrook, Illinois corporate office. Remote work is not an option.

Health insurance with dental and vision
PTO with sick time
401k & match

INDH2

What You Should Know About Payer Contracting Associate, USA Clinics Group

Are you ready to kick off your career in healthcare contracting? As the Payer Contracting Associate at our company, situated at our corporate office in Northbrook, Illinois, you'll be a vital player in implementing payor strategies alongside the Manager of Contracting and Payor Relations. This entry-level position isn’t just about numbers; it's about nurturing relationships with payors, health systems, and IPAs, while gaining invaluable insight into managed care agreements. You'll assist in negotiating contracts, analyze reimbursement strategies, and even help identify contract language that could benefit our operations. Don’t worry if you're new to this world; we offer comprehensive training to pave your path to success. You'll be actively involved in documenting and improving our processes, collaborating with various internal teams to ensure smooth contracting efforts, and proactively tracking ongoing opportunities. Plus, the prospect of making real changes means that you’ll leave your mark on how we operate. With a bachelor's degree as a required qualification and a preference for candidates with degrees in Health Care Administration or Managed Care Contracting, this role will allow you to dive deep into the operational intricacies of healthcare while making meaningful contributions to our company goals. If you have a passion for healthcare operations and are eager to learn, we invite you to join our team and embark on an exciting career journey with us!

Frequently Asked Questions (FAQs) for Payer Contracting Associate Role at USA Clinics Group

What are the main responsibilities of a Payer Contracting Associate at the company?

As a Payer Contracting Associate at our company, your main responsibilities will include assisting with the negotiation of managed care agreements with various entities, maintaining operational knowledge of contractual agreements, collaborating with teams to resolve payor issues, and continually improving processes related to contracting efforts. You'll play a crucial role in supporting the implementation of payor strategies and tracking the effectiveness of contracting initiatives.