Northside Hospital is seeking a Payor Development Specialist to support its payor development team, focusing on operationalizing Centers of Excellence (COE) contractual arrangements. The role involves relationship management, contract maintenance, and education for physician practices, requiring strong analytical and communication skills
Job Summary
The Payor Development Specialist is responsible for operationalizing Centers of Excellence contractual arrangements within the Managed Care department.
This role serves as a primary point of contact between billing staff, provider practices, and COE health plans to resolve claim and process issues.
The position requires supporting negotiations, providing physician practice education, and ensuring accurate contract identifiers and coding implementation.
Matching Summary
Match Score: 85
Northside Hospital is seeking a Payor Development Specialist to support its payor development team, focusing on operationalizing Centers of Excellence (COE) contractual arrangements. The role involves relationship management, contract maintenance, and education for physician practices, requiring strong analytical and communication skills.
Skills & Requirements
Must-have
Centers of Excellence contractual arrangements
Managed Care payor relations
COE bundled surgical arrangements
Contract and fee schedule maintenance
Claims adjustment process management
Nice-to-have
Strong analytical skills for trended issues
Excellent organizational and communication skills
Ability to work independently in remote setting
Key Requirements
Bachelor's Degree or equivalent experience
No less than four years healthcare experience
Provider contracting or provider relations experience