Contracts and Payer Relations Specialist

Easterseals PORT Health • Raleigh, NC

1d • $55,000 - $65,000 • Hybrid

About The Position

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.

Requirements

• 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.

Nice To Haves

• Bachelor's Degree in Business Administration, Healthcare Administration, Legal Studies, or related field.
• Experience with healthcare contracting and managed care organizations.
• Experience with contract lifecycle management systems.
• Experience supporting healthcare technology implementations.
• Experience in Behavioral Health, Intellectual and Developmental Disabilities (I/DD), and Substance Use Disorder (SUD) services.
• Knowledge of healthcare contracts, payer structures, and reimbursement methodologies.
• Strong analytical and problem-solving skills.
• Ability to interpret contractual and operational information.
• Excellent verbal and written communication skills.
• Strong organizational and project management abilities.
• Ability to prioritize work and manage competing deadlines.
• Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, SharePoint, and Teams.
• Ability to maintain confidentiality and exercise professional judgment.

Responsibilities

• 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.

Benefits

• Competitive salary between $55,000-$65,000 for this full-time, non-exempt and over time eligible position
• Generous paid time off and paid holidays
• Full benefits package including Medical, Dental, and Vision benefits
• Life and Disability Insurance(company paid)
• 403(b) Retirement Plan
• Employee Assistance Program and legal services support
• Public Service Loan Forgiveness (PSLF) qualifying employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree