Senior Payor Contract Analyst
Core
Oversees and manages commercial and Medicare Advantage payor contracts, serving as a liaison between payors and internal departments to resolve roster, billing, and contractual issues.
Role type
Senior Payor Contract Analyst
Builds
Provider rosters, provider directories, and single-case financial agreements
Domain
Healthcare administration / Payer contracting
Required skills
Contract negotiation, provider enrollment management, provider roster maintenance, financial analysis, cost comparison, facility credentialing, commercial and Medicare Advantage contract knowledge, provider data management, billing and reimbursement strategy, Microsoft Office proficiency
Preferred skills
None stated
Technologies
EPIC, Microsoft Office (Word, Excel, PowerPoint, Outlook)
Responsibilities
Develop and maintain provider rosters and resolve enrollment issues; Collaborate with Medical Staff Office to update and audit provider directories; Act as a liaison to resolve issues related to contracting, billing, payments, and registration; Conduct financial analysis and negotiate single-case agreements; Perform facility credentialing
Seniority
Senior, hands-on IC