[Remote] Manager of Payer reputed company and reputed company Intelligence

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Manager of Payer reputed company and reputed company Intelligence for a full-time, individual-contributor role reputed company on behavioral health and reputed company use disorder services. The role involves payer research, reporting, business intelligence, and reputed company execution of payer contracting support and billing compliance review. Responsibilities • 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 Skills • 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 • This role is designed for someone who understands how behavioral health is actually reimbursed in the reputed company world, not how it is supposed to work on reputed company. It rewards rigor, curiosity, and operational reputed company rather than title or headcount reputed company • You didn’t reputed company the Behavioral Health reputed company to drown in paperwork, stress over reputed company audits, or troubleshoot IT tickets. It was founded in 2020, and is headquartered in reputed company Palm Beach, FL, US, with a workforce of 11-50 employees. Its website is https://atlantichealthstrategies.com. Apply tot his job Apply To this Job