Manager, Payor Relations overseeing contracting and credentialing in hearing health care industry. Leading initiatives for efficiency and compliance within the organization.
Responsibilities
Manage and oversee payor contracting, enrollment, and credentialing activities to support patient access and business objectives
Implement policies and procedures that ensure compliance with regulatory and payor requirements
Serve as escalation point for complex payor-related issues, providing resolution and guidance to supervisors and staff
Analyze operational and performance data to identify trends, monitor outcomes, and present findings to leadership to inform strategic decisions
Collaborate with reimbursement, finance, operations, and compliance teams to align payor activities with organizational goals
Lead process improvement initiatives to enhance efficiency, accuracy, and compliance across payor functions
Develop and maintain relationships with payors to support contracting and enrollment objectives
Provide leadership, coaching, and development for supervisors and staff to promote operational excellence and professional growth
Requirements
Bachelor’s degree in business, healthcare administration, or related field OR equivalent work experience
5+ years of experience in payor contracting, payor relations, or managed care within the healthcare industry
2+ years of direct people management experience
Demonstrated success negotiating and managing contracts with Medicare, Medicaid, and commercial payors
Strong knowledge of healthcare reimbursement, benefit structures, credentialing, and compliance requirements
Experience with payor enrollment and credentialing processes
Advanced analytical skills with the ability to interpret data and generate actionable insights
Excellent written and verbal communication skills, including the ability to present to senior leadership
Proficiency with Microsoft Office Suite and relevant business technology platforms.
Benefits
medical, dental, vision, life and disability insurance
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