Payor Contract Manager - Remote

at  Amedisys

Overview
Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

REQUIREMENTS

• Bachelor’s degree in business or related field.
• Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system.
  Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
  Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic

• Responsible for achieving prioritized contracting targets for market.
• Collaborates with director and payor contracting to achieve regional/market goals and contract targets.
• Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.
• Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.
• Completes contracting efforts associated with addition/termination of locations/markets.
• Reviews, vets, and prioritizes requests for new contracts.
• Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.
• Conducts market research to proactively identify risks/opportunities to inform market strategies.
• Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.
• Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.
• Performs other duties as assigned