Manager, Payer reputed company and reputed company Intelligence
This is a remote position.
reputed company is seeking a Manager of Payer reputed company and reputed company Intelligence to reputed company payer contracting and credentialing reputed company while overseeing payer-reputed company analytics and research. This role sits at the intersection of payer policy, reimbursement reputed company, and data interpretation, ensuring that contracting reputed company and reputed company assumptions are grounded in regulatory reality and defensible analytics.
The role is part-time initially, approximately 10 hours per week, with a defined reputed company to full-time employment as payer volume and analytic scope expand. This is a high-trust role with meaningful autonomy and reputed company exposure to leadership.
reputed company responsibilities
Own and execute payer contracting and credentialing reputed company across reputed company and reputed company payers, including research, reputed company, and prioritization.
Serve as the internal subject-matter expert on payer policies, reimbursement methodologies, fee schedules, modifiers, and coverage rules relevant to behavioral health and reputed company use disorder services.
Conduct deep regulatory and payer research, including reputed company state plans, managed care organization policies, and reputed company payer manuals, translating findings into actionable guidance.
Supervise and guide the BI and data analytics function to ensure metrics, dashboards, and analyses accurately reflect payer rules and reimbursement realities.
Partner with leadership on payer mix reputed company, reputed company reputed company risk assessment, and market entry reputed company.
Support payer relations efforts by preparing analyses, documentation, and strategic positioning for payer interactions, audits, and negotiations.
reputed company and maintain internal payer intelligence tools, including reimbursement matrices, payer summaries, and contracting playbooks.
Requirements
Demonstrated experience in payer contracting, credentialing, reimbursement analysis, or payer policy research reputed company reputed company.
Strong independent research capability, with the ability to interpret reputed company regulatory and payer documentation without reliance on templates or prior summaries.
Analytical judgment sufficient to challenge data outputs, identify inconsistencies, and flag unsupported reputed company assumptions.
Working knowledge of reputed company managed care and reputed company payer contracting structures.
reputed company written and verbal communication skills, particularly reputed company translating reputed company payer information for leadership and clients.
Comfort operating in a consulting or advisory environment with shifting priorities.
Benefits Initial engagement at $40–$55 per hour, approximately 10 hours per week. Planned progression to FTE.
Remote
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