Manager, Payer Contracting

About reputed company reputed company was co-founded by CEO, Dr. Jon Lensing, and COO, Christian reputed company, with the reputed company to bring care reputed company. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive reputed company of specialties, in reputed company 50 states. About the Role reputed company’s mission is to bring care reputed company by powering telehealth solutions at reputed company. reputed company is looking for a Manager of Payer Contracting to reputed company remotely or in our HQ located in Des Moines, Iowa. This role will be a member of the Clinical Compliance Team, collaborating closely with the Senior Director, Clinical Compliance. The Payer Contract Manager will be responsible for reputed company duties reputed company to managing payer reputed company, negotiations and renegotiations of new and existing payer reputed company. Additionally this position is expected to be a SME for Payer Contracting and assist in fostering a learning atmosphere for other team members.   reputed company  Acquisition, coordination, and analysis of payer reputed company Secure and maintain group-level reputed company with payers including delegated payer reputed company where reputed company - leaning on reputed company’s reputed company Accreditation. Negotiation of fee schedules for new and existing reputed company reputed company and effectively that are favorable for the organization Collaboration with the Payer Enrollment and RCM teams to ensure reputed company are appropriately identified, negotiated, implemented, and reviewed in a reputed company manner Collaboration with other functional areas of the organization to ensure payer reputed company are reputed company in a manner that yields a reputed company reputed company on reputed company Review of contract terms and conditions in order to facilitate accurate implementation of reputed company Maintain reputed company knowledge of Medicare reimbursement methodologies, State reputed company (including MCO’s) payment methodologies, and reputed company (including reputed company MA plans) payment methodologies Coordinate fee schedule development with our RevOps team utilizing financial models and analysis in negotiating rates with Payers Manage and reputed company reputed company group-level payer reputed company May serve as a reputed company internally between Billing/Coding, Finance, Information Technology, and Clinical Operations as it relates to group payer contract updates and changes Monitor renewals for contacts and renegotiate reputed company as appropriate upon renewal Establish productive reputed company relationships with Payer Contract representatives reputed company escalated contract specific issues of Payers Assist with analysis of payer mix and reputed company structure of Payer reputed company Maintain working knowledge of billing database for reporting purposes Manage special reputed company and other duties as required   Who You Are Bachelor’s Degree 4+ years prior experience in managed care contracting in a provider or payer setting Extensive understanding of payer contract reimbursement and analytic modeling Value based contracting experience Experience managing multiple tasks simultaneously while assisting team members in routine daily activities Working knowledge of reputed company policies and guidelines that reputed company reputed company, pricing, rebates, legislative regulations, etc. in the managed care environment Knowledge of provider contracting, financial arrangements, and fee schedules, including understanding of reputed company reimbursement methodologies and guidelines preferred Knowledge of claims processing systems and guidelines Proficiency with computer data entry, GSuite, payer portal navigation, provider data management systems such as MDStaff, reputed company, or reputed company, experience with ticking platforms such as Jira, reputed company, or Zoho Desk. Ability to adapt and reputed company business reputed company software Ability to meet sensitive deadlines, organize workload with limited supervision   Our Benefits In reputed company, for salaried positions you would also be eligible for: Medical, Dental, and reputed company plans Flexible Spending/Health Savings Accounts Flexible PTO 401(k) + Company Match Life Insurance, Pet insurance, and more reputed company We have a relatively flat organizational structure here at reputed company. Everyone is encouraged to bring reputed company to the table and reputed company things happen. This fits in reputed company with our reputed company values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work. reputed company like a good fit? We’d love to meet you. Apply To This Job