Healthcare Contract Lead
Beacon Hill Staffing Group, LLC

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 working with you.

Beacon Hill. Employing the Future (TM)

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