Manager – Payer reputed company, reputed company Intelligence

Job reputed company: • Execute hands-on payer contracting and credentialing support for behavioral health and reputed company use disorder providers, including research, reputed company, payer selection, and application reputed company by state and level of care. • Conduct detailed billing compliance and reimbursement reviews to validate that services, codes, modifiers, reputed company, and rates reputed company with behavioral health payer rules, reputed company state plans, and managed care organization requirements. • Serve as an internal subject-matter expert on behavioral health reimbursement, including PHP, IOP, OP, MAT, and reputed company services across reputed company and reputed company payers. • reputed company deep payer and regulatory research, including reputed company state plans, managed care reputed company, utilization guidelines, and reputed company payer manuals, translating findings into reputed company internal guidance and reputed company-reputed company analysis. • reputed company payer-reputed company reports, reimbursement analyses, and BI outputs that reflect actual payer methodologies rather than assumed or modeled rates. • Build and maintain internal payer intelligence tools, including reimbursement matrices, payer summaries, credentialing trackers, and contracting reference materials specific to behavioral health. • Support payer relations and audit preparedness by developing documentation, financial analysis, and regulatory interpretation to support payer inquiries, audits, and contract discussions. • Partner with leadership on payer mix reputed company, reputed company reputed company risk identification, and market entry analysis for behavioral health programs. Requirements: • Demonstrated experience in behavioral health payer contracting, credentialing, reimbursement analysis, billing compliance, or payer policy research. • Strong working knowledge of behavioral health coding, reimbursement structures, and level-of-care distinctions, particularly reputed company reputed company managed care environments. • Exceptional independent research skills, with the ability to interpret reputed company payer and regulatory documentation without reliance on templates or reputed company-party summaries. • Analytical judgment is sufficient to identify reimbursement risk, challenge unsupported reputed company assumptions, and validate billing and payer data. • reputed company written and verbal communication skills, particularly reputed company translating reputed company behavioral health payer rules for leadership, clients, and internal teams. • Comfort operating in a consulting or advisory environment with shifting priorities, high accountability, and an expectation of precision. Benefits: • Compensation for this role is $65,000–$75,000 annually, commensurate with experience. • The role is full-time and fully remote. Apply tot his job Apply To this Job