What are the responsibilities and job description for the Payor Contract Manager position at PT Solutions?
The Payor Contract Manager is responsible for the negotiation and execution of contracts with our payors and maintaining the relationships needed to deliver the best rates for our patients and company.
Essential Functions
- Lead the negotiation and execution of contracts with healthcare payers, ensuring favorable terms and reimbursement rates.
- Develop and maintain strong relationships with payer organizations ensuring alignment with our strategic objectives.
- Analyze payer contracts and reimbursement methodologies to identify opportunities for optimization and improvement.
- Collaborate with internal stakeholders, including Finance, RCM, and Operations to ensure alignment on contract terms and compliance with regulatory requirements.
- Monitor payer performance against contractual obligations and key performance indicators, proactively addressing any issues or discrepancies.
- Stay informed about industry trends, regulatory changes, and emerging best practices in healthcare regulations, incorporating this knowledge into contract negotiations and strategy.
- Provide guidance and support to team members involved in contract management and negotiation processes.
- Experience in Healthcare Administration, Business Administration, Finance, or a related field.
Required Skills & Abilities
Required Credentials
