Specialist III, Contract Management – Implementation

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess and analyze payor contracts, amendments, and policies prior to the launch of new payors.

• Record essential contract terms and escalate any unclear or potentially risky language.

• Act as a point of contact for inquiries related to contracts.

• Ensure accurate documentation for billing, eligibility, and payor launch teams.

• Develop and implement a contract repository along with AI payor intelligence tools.

• Systematize and transfer contract documentation.

• Define key terms and verify the accuracy of AI search results.

• Collaborate with cross-functional teams to address identified risks and fill information gaps with payor partners.

• Evaluate reimbursement methodologies to ensure financial accuracy through the preliminary review of contracts.

• Recognize opportunities for process enhancements in managing an expanding contract portfolio.

⛳️ Requirements

• Practical experience with payor contracts, amendments, provider manuals, or payor policies.

• Capability to locate and navigate contract documents to extract pertinent information.

• Excellent written and verbal communication skills.

• Proficiency in conveying complex contract details clearly to cross-functional partners.

• Skill in identifying vague, risky, or significant contract language.

• Ability to escalate issues with appropriate context and suggested next steps.

• Knowledge of the revenue cycle, including timely filing windows, reimbursement terminology, and claim routing.

• Experience with behavioral health payors is an advantage.

• Must have legal authorization to work in the United States.

• Resume should be submitted in PDF format.

🏝️ Benefits

• Comprehensive medical, dental, vision, life, and disability insurance.

• Free access to therapy services via the Grow platform (available for US employees).

• Retirement savings programs.

• Opportunities for equity.

• Flexible time off policy.

• Company-paid holidays, varying by location.

• Company-wide Winter Break.

• Up to 18 weeks of paid parental leave.

• Stipend for new child expenses.

• Dedicated weekly flexible time for self-care activities.

• Annual stipend for wellness and professional development.

• Pre-tax commuter benefits for employees working from hub locations.

• Support for home workspace.

• Meal benefits for both remote and hub-based employees.

• Wellness memberships.

• Virtual care options.

• Discounts on pet insurance where available.

• Global travel assistance.