Contract Administration Supervisor
Core
Manage application, credentialing, and health plan filing processes while providing guidance on payor escalations and contractual terms for a global medical technology company.
Role type
Contract Administration Supervisor (Healthcare Revenue Cycle)
Builds
Provider enrollment, payer contract compliance, and reimbursement analysis workflows
Domain
Healthcare / Medical Technology / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare credentialing, provider enrollment, payer contracting, health plan filing, contract analysis, reimbursement analysis, database management, vendor relationship management, regulatory compliance (Medicare/Non-Medicare)
Preferred skills
CPCS or CPMSM certification, multi-state healthcare organization experience, complex contractual issue resolution, policy development, team performance metrics management
Technologies
CAQH, PECOS, Microsoft Office Suite, Access, payer portals, revenue cycle management systems, credentialing software platforms
Responsibilities
Manage application, credentialing, and health plan filing processes; Provide guidance for payor escalations and contractual terms; Maintain records of company and employee information; Review payer contracts and prepare reimbursement analysis documents; Support creation and maintenance of contractual requirements database; Maintain internal reference guides and payer participation databases; Provide oversight of vendor relationships for credentialing and licensure; Manage deadlines, priorities, and team productivity; Assist in development and implementation of departmental policies and procedures
Seniority
Manager, supervisory & team lead