Payor Strategy Contract Coordinator

TridentCare•Horsham Township, PA

3d•$65,000 - $70,000•Remote

About The Position

The Payor Strategy Contract Coordinator is responsible for managed care contract administration across all Trident business entities. Reporting directly to the Sr. Manager RCM, Payer Strategy, the coordinator works with management and sales teams to identify contracting and other business opportunities, analyze contracts for efficiency and profitability, and support operational implementation. The role also tracks contract implementation and payment auditing to help ensure accuracy across executed contracts and lines of business.

Requirements

Three years of prior contracting experience.
At least four years of experience in health care billing or accounting.
High school diploma.
Excellent verbal and written communication skills.
Deep understanding of payer dynamics, including value-based care models and healthcare regulation.
Proven track record in contract negotiation and managing end-to-end sales processes.
Ability to meet established deadlines and handle multiple customer service demands from internal and external customers within service expectations.
Strong attention to detail.
Goal-oriented.
Ability to multitask in a fast-moving environment and work with multiple deadlines.
Proficiency with Microsoft Office tools, including Excel, Word, and PowerPoint.
Comprehensive knowledge of managed care for non-government payor relations programs.
Internet access to perform job duties.

Nice To Haves

Experience with contract management software.

Responsibilities

Manage managed care proposals, letters of interest, and other payor paperwork through accurate completion, submission, and prompt follow-up.
Serve as the primary liaison for regional payors, as defined by the Sr. Manager.
Maintain electronic copies of signed contracts in accordance with federal, state, and local guidelines.
Outline contract provisions and analyze rates and their impact.
Assist the Reimbursement team with non-government payor audits and inquiries.
Review proposals and responses with the Sr. Manager for approval.
Work with System Support to load and test fee schedules and new filing formats for field requirements.
Complete and disseminate Health Plan Contracting Announcement Forms to affected personnel as appropriate.
Document contract terms, fee schedules, and other billing requirements for managed care payor contracts.
Ensure fee schedules remain current and aligned with contractual terms.
Communicate new and amended contracts to internal departments as necessary.
Routinely audit processes to secure optimal status.
Develop and execute contract documents aligned with annual strategy and company goals and objectives.
Prepare opportunity analyses for pricing determinations and in-network or out-of-network managed care decisions.
Evaluate and monitor contract profitability, including renegotiating or terminating contracts when necessary.
Maintain payor participation listings of key contracts for billing and sales teams.
Work with the Billing Management Team and use existing tools to develop solutions for payor- and contract-related issues.
Identify problem payors and reimbursement trends that may negatively affect cash collections.
Educate internal and external clients and customers about exceptional payer requirements.
Proactively pursue payor contracts based on volumes, payments, collection percentages, and sales opportunities; provide educational information when payors are uninterested.
Liaise between the Billing A/R team and payor relations when contractual A/R issues escalate.
Perform other duties as assigned.