Contract Manager

BlueSprig•Houston, TX

11d

About The Position

The Contract Manager is responsible for organizing, maintaining , and operationalizing BlueSprig’s payer contracts to ensure accurate reimbursement and smooth delivery of ABA services across all BlueSprig centers. This role owns the end-to-end lifecycle of fee schedules and key contractual terms—from implementation through ongoing updates—and works closely with Payer Relations, Revenue Cycle, Operations, and Finance to ensure that contracts translate into clean claims, predictable cash flow, and sustainable access to care for families.

Requirements

Bachelor’s degree in Business , Healthcare Administration, Finance, or related field ; equivalent experience considered.
3–5+ years of experience in managed care contracting, contract management, revenue cycle, or payer operations within healthcare; ABA or behavioral health strongly preferred.
Demonstrated experience managing fee schedules, contract abstraction, and reimbursement analysis.
Proficiency in Excel (pivot tables, lookups, rate comparisons) and comfort working with data from multiple systems.
Strong organizational skills with the ability to manage multiple contracts, deadlines, and priorities in a fast-paced environment.

Nice To Haves

Strong proficiency with Salesforce, including instance navigation, custom object creation, and field mapping, is a huge plus.

Responsibilities

Contract & Fee Schedule Management Maintain a centralized, organized repository of all payer contracts, amendments, and related documents for BlueSprig and affiliated brands .
Strong proficiency with Salesforce, including instance navigation, custom object creation, and field mapping, is a huge plus.
Abstract and clearly summarize key contract terms (rates, escalators, effective/termination dates, notice requirements, prior authorization rules, service limits, etc.) into accessible internal tools and trackers.
Own the fee schedule lifecycle: load, validate, and update contracted rates (CPT/HCPCS, modifiers, place of service, etc.) in coordination with billing, EMR, and practice management system.
Ensure timely implementation of new and updated fee schedules following contract execution, renewals, or amendments to avoid underpayments and billing delays.
Pa rtner with Revenue Cycle to investigate and resolve reimbursement variances related to rate misloads, incorrect fee schedules, or misaligned benefit setups.
Payer Configuration & ABA Service Support Maintain a payer matrix that clearly outlines coverage rules for ABA services by state and payer (e.g., prior auth requirements, session limits, age limits, location-of-service rules, telehealth policies etc ).
Work with Operations and Clinical leadership to translate contract terms into operational guidance for center leaders, schedulers, and clinical staff
Support payer setup for new centers and expansions, ensuring participating status, fee schedules, and billing rules are appropriately configured prior to go-live.
Coordinate with Credentialing teams to align provider and location enrollment timelines with contract effective dates and network participation requirements.
Manage rates, dates, and terms while spotting discrepancies, trends, and reimbursement rates quickly.
Explain complex payer rules in simple, practical terms for non-technical audiences.
Reimbursement Integrity & Performance Track and monitor reimbursement performance by payer relative to contracted rates (e.g., allowed vs. expected, denial trends tied to contract terms, underpayments).
Partner with Payer Relations and Revenue Cycle to identify and escalate systemic payer issues, underpayments, or non-compliance with contract terms.
Prepare rate comparisons and impact analyses to inform contract renewal strategies, payer negotiations, and pricing decisions.
Support the development and maintenance of standard rate grids, modeling tools, and internal benchmarks for ABA reimbursement.
Cross-Functional Collaboration & Communication Serve as an internal point of contact for questions about payer contract terms, coverage rules, and rate structures.
Develop clear, concise summaries and communication guides for Operations and Center Leadership when new contracts, policies, or reimbursements go into effect.
Collaborate with Directors of Payer Relations and Contracting on revenue forecasting and budgeting assumptions tied to contracted rates and payer mix.
Assist in special projects and initiatives related to value-based care, alternative payment models, or program expansions as needed.