Payer Contract Specialist

Infusion4Health Inc•Brea, CA

12d•$75,000 - $90,000•Hybrid

About The Position

The Contracts Specialist will be responsible for maintaining contract records, tracking deadlines and outstanding items, coordinating documentation, and driving timely follow-up with internal stakeholders and external payer partners. This individual will help ensure that contracts and amendments move efficiently from initial request through execution and implementation.

Requirements

Two or more years of experience in healthcare contracting, payer relations, provider network operations, credentialing, revenue cycle, or a related function.
Demonstrated ability to manage multiple assignments, deadlines, and follow-up items simultaneously.
Proficiency with Microsoft Excel, Word, Outlook, and contract-tracking or document-management systems.
Ability to handle confidential and sensitive business information appropriately.

Nice To Haves

Associate or bachelor’s degree in healthcare administration, business, finance, or a related field preferred.
Experience supporting contracts or business relationships with California IPAs and medical groups is strongly preferred.
Familiarity with the California managed care environment, including IPAs, delegated medical groups, and health plans.
Basic understanding of healthcare contracts, reimbursement terms, fee schedules, provider enrollment, and authorization processes.
Experience in infusion therapy, specialty pharmacy, ambulatory healthcare, or another specialty provider environment is preferred.

Responsibilities

Provide administrative and operational support throughout the payer and IPA contracting lifecycle.
Coordinate contract requests, applications, amendments, renewals, terminations, and supporting documentation.
Maintain accurate and organized electronic files for contracts, amendments, fee schedules, rate exhibits, correspondence, and related materials.
Update and maintain the organization’s contract management system or centralized contract repository.
Track contract status, effective dates, renewal dates, notice periods, outstanding documentation, and required follow-up.
Maintain contracting trackers and provide regular status updates to Payer Operations leadership.
Follow up consistently with California IPAs, medical groups, health plans, and internal stakeholders to keep contracting activities moving forward.
Assist with gathering and submitting organizational documents, including licenses, insurance certificates, W-9s, accreditation materials, ownership information, and service-location details.
Coordinate signature routing and confirm that fully executed agreements are received, distributed, and stored appropriately.
Support credentialing with provider enrollment, roster submissions, demographic updates, letters of agreement, and other payer-required documentation.
Review contracts and related documents for completeness, accuracy, and consistency before routing them for review or signature.
Coordinate with Revenue Cycle, Credentialing, Finance, Legal, Operations, and other departments to support accurate contract implementation.
Help communicate finalized contract terms and effective dates to the appropriate internal teams.
Track new locations, service lines, and market-expansion activities to ensure contracting needs are identified and completed on time.
Assist with researching and resolving contract-related questions, missing documentation, reimbursement discrepancies, and payer setup issues.
Prepare reports, summaries, meeting materials, and other documentation for contracting projects and leadership review.
Support audits and periodic reviews of contract files to ensure records are complete and current.
Identify opportunities to improve contracting workflows, tracking tools, documentation standards, and administrative processes.