Healthcare Contract Lead - 1395736_46528583812_11-4658 - Masco Corporation
Boise, ID
About the Job
This job was posted by https://idahoworks.gov : For more information,
please see: https://idahoworks.gov/jobs/2282121 Position Overview
Beacon Hill's client is looking for a Healthcare Contract Lead to join
their team. The ideal candidate will be responsible for acquiring new
contracts and maintaining ongoing relationships with payer accounts.
This role requires fostering strong partnerships with payers and
colleagues to ensure high levels of client satisfaction and successful
contract resolutions. The Healthcare Contract Lead plays a critical role
in developing network management strategies that support market growth,
compliance, and enhanced member experience.
This remote fulltime opportunity is looking for candidates that have
direct experience working with healthcare contracts.
Based on client needs, candidates must sit in a central or eastern
time zone.
Key Responsibilities
1. Contract Negotiation: Negotiate contracts with payers and
Independent Practice Associations (IPA) across all business lines.
Support company growth by developing new contracts and expanding
services with existing payers.
2. Contract Analysis: Analyze contracts to assess viability and
provide recommendations on reimbursement and contracting strategies.
3. Compliance Management: Apply state and federal regulations to
negotiate and manage contracts, ensuring compliance with payer
requirements.
4. Credentialing Compliance: Ensure quarterly and annual
credentialing requirements are met, maintaining accurate and timely
applications.
5. Market Knowledge: Stay up to date with healthcare market trends
and growth opportunities in the provider network.
6. Stakeholder Communication: Ensure contract terms, reimbursement
rates, and payer policies are clearly communicated to internal
stakeholders and reflected in front- and back-end processes.
7. Claims Management: Collaborate with operations teams to identify
trends in authorization and claim denials, escalating issues to
payer contacts as needed.
8. Collaboration: Work closely with cross-functional teams to
support the organization's strategic goals and objectives.
9. Core Values: Demonstrate the department's core philosophies:
Listen, Learn, and Lead.
10. Other Duties: Perform other tasks as assigned by the manager.
Required Skills and Qualifications
- Knowledge of Payer Processes: In-depth understanding of how payers
make decisions regarding CMS codes.
- Contract Negotiation Experience: Minimum of 2 years of experience in
contract acquisition and negotiation.
- Industry Expertise: Minimum of 2 years in the DME/Ancillary
Care/Home Healthcare market, with a strong understanding of medical
terminology, reimbursement policies, and industry standards.
- Communication Skills: Excellent written, verbal, and presentation
skills, with strong visual communication abilities.
- Self-Motivation: Ability to work independently and as part of a
team. Passion for completion and attention to detail.
- Confidentiality: Ability to maintain confidentiality when handling
sensitive information.
- Education: Bachelor's degree preferred but not required.
Beacon Hill is an Equal Opportunity Employer that values the strength
diversity brings to the workplace. Individuals with Disabilities and
Protected Veterans are encouraged to apply.
California residents: Qualified applications with arrest or
conviction records will be considered for employment in accordance with
the Los Angeles County Fair Chance Ordinance for Employers and the
California Fair Chance Act.
If you would like to complete our voluntary self-identification form,
please click here or copy and paste the following link into an open
window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
Completion of this form is voluntary and will not affect your
opportunity for employment, or the terms or conditions of your
employment. This form will be used for reporting purposes only and will
be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career
placement and flexible staffing, we deliver coordinated staffing
solutions with unparalleled service, a commitment to project completion
and success and a passion for innovation, creativity and continuous
improvement.
Our niche brands offer a complete suite of staffing services to emerging
growth companies and the Fortune 500 across market sectors, career
specialties/disciplines and industries. Over time, office locations,
specialty practice areas and service offerings will be added to address
ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill
Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal,
Beacon Hill Life Sciences and Beacon Hill Technologies by visiting
www.bhsg.com .
We look forward to work
please see: https://idahoworks.gov/jobs/2282121 Position Overview
Beacon Hill's client is looking for a Healthcare Contract Lead to join
their team. The ideal candidate will be responsible for acquiring new
contracts and maintaining ongoing relationships with payer accounts.
This role requires fostering strong partnerships with payers and
colleagues to ensure high levels of client satisfaction and successful
contract resolutions. The Healthcare Contract Lead plays a critical role
in developing network management strategies that support market growth,
compliance, and enhanced member experience.
This remote fulltime opportunity is looking for candidates that have
direct experience working with healthcare contracts.
Based on client needs, candidates must sit in a central or eastern
time zone.
Key Responsibilities
1. Contract Negotiation: Negotiate contracts with payers and
Independent Practice Associations (IPA) across all business lines.
Support company growth by developing new contracts and expanding
services with existing payers.
2. Contract Analysis: Analyze contracts to assess viability and
provide recommendations on reimbursement and contracting strategies.
3. Compliance Management: Apply state and federal regulations to
negotiate and manage contracts, ensuring compliance with payer
requirements.
4. Credentialing Compliance: Ensure quarterly and annual
credentialing requirements are met, maintaining accurate and timely
applications.
5. Market Knowledge: Stay up to date with healthcare market trends
and growth opportunities in the provider network.
6. Stakeholder Communication: Ensure contract terms, reimbursement
rates, and payer policies are clearly communicated to internal
stakeholders and reflected in front- and back-end processes.
7. Claims Management: Collaborate with operations teams to identify
trends in authorization and claim denials, escalating issues to
payer contacts as needed.
8. Collaboration: Work closely with cross-functional teams to
support the organization's strategic goals and objectives.
9. Core Values: Demonstrate the department's core philosophies:
Listen, Learn, and Lead.
10. Other Duties: Perform other tasks as assigned by the manager.
Required Skills and Qualifications
- Knowledge of Payer Processes: In-depth understanding of how payers
make decisions regarding CMS codes.
- Contract Negotiation Experience: Minimum of 2 years of experience in
contract acquisition and negotiation.
- Industry Expertise: Minimum of 2 years in the DME/Ancillary
Care/Home Healthcare market, with a strong understanding of medical
terminology, reimbursement policies, and industry standards.
- Communication Skills: Excellent written, verbal, and presentation
skills, with strong visual communication abilities.
- Self-Motivation: Ability to work independently and as part of a
team. Passion for completion and attention to detail.
- Confidentiality: Ability to maintain confidentiality when handling
sensitive information.
- Education: Bachelor's degree preferred but not required.
Beacon Hill is an Equal Opportunity Employer that values the strength
diversity brings to the workplace. Individuals with Disabilities and
Protected Veterans are encouraged to apply.
California residents: Qualified applications with arrest or
conviction records will be considered for employment in accordance with
the Los Angeles County Fair Chance Ordinance for Employers and the
California Fair Chance Act.
If you would like to complete our voluntary self-identification form,
please click here or copy and paste the following link into an open
window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
Completion of this form is voluntary and will not affect your
opportunity for employment, or the terms or conditions of your
employment. This form will be used for reporting purposes only and will
be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career
placement and flexible staffing, we deliver coordinated staffing
solutions with unparalleled service, a commitment to project completion
and success and a passion for innovation, creativity and continuous
improvement.
Our niche brands offer a complete suite of staffing services to emerging
growth companies and the Fortune 500 across market sectors, career
specialties/disciplines and industries. Over time, office locations,
specialty practice areas and service offerings will be added to address
ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill
Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal,
Beacon Hill Life Sciences and Beacon Hill Technologies by visiting
www.bhsg.com .
We look forward to work
Source : Masco Corporation
