Payor Strategy Contract Coordinator

🔥 16 hours ago

🐊 Florida, Ohio, +3 more states – Remote

🐊 Florida – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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TridentCare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

Healthcare • B2B

<TridentCare> TridentCare is a national provider of mobile and on-site diagnostic healthcare services, delivering digital X‑ray, ultrasound, EKG, laboratory/phlebotomy, and vascular access (PICC) services directly to patients in skilled nursing facilities, assisted living and hospice, at-home settings, correctional/behavioral facilities, government agencies, and commercial sites. The company emphasizes licensed, certified clinicians, strict regulatory accreditations (ACR, CLIA, CAP, COLA), and technology-enabled workflows via its TridentConnect EMR integrations and HITRUST‑certified platforms to streamline diagnostics and protect patient data. TridentCare partners primarily with healthcare providers and agencies to expand access, improve operational efficiency, and maintain continuity of care.

📋 Description

• Manage managed care contract administration across all Trident business entities • Report directly to the Sr. Manager RCM, Payer Strategy • Work with Management Team and Sales team to identify contracting and business opportunities • Analyze contracts for efficiencies and profitability • Implement contracts operationally and audit payments using tracking mechanisms • Manage completion and submission of managed care proposals and payor paperwork • Serve as primary liaison for regional payors • Maintain electronic copies of signed contracts • Outline contract provisions and analyze rate impacts • Assist the Reimbursement team with non-government payor audits and inquiries • Review proposals and responses with the Sr. Manager for approval • Work with System Support to load and test fee schedules and filing formats • Disseminate Health Plan Contracting Announcement Forms to affected personnel • Document contract terms, fee schedules, and billing requirements • Maintain current fee schedules and communicate new or amended contracts internally • Audit processes to secure optimal status • Develop and execute contract documents aligned with annual strategy • Prepare opportunity analyses for pricing and in-network/out-of-network decisions • Evaluate contract profitability and renegotiate or terminate contracts when necessary • Maintain payor participation listings for billing and sales teams • Develop solutions for payor and contract-related issues with Billing Management • Identify problem payors and reimbursement trends affecting cash collections • Educate internal and external clients about exceptional payer requirements • Pursue payor contracts based on volumes, payments, collections, and sales opportunities • Liaise between Billing A/R and payor relations when contractual A/R issues escalate • Perform other duties as assigned

🎯 Requirements

• 3 years prior contracting experience • 4 years minimum experience in health care billing/accounting • High School Diploma required • Experience with contract management software preferred • Comprehensive knowledge of managed care for non-government payor relations programs • Excellent verbal and written communication skills • Deep understanding of payer dynamics, including value-based care models and healthcare regulation • Proven track record in contract negotiation and managing end-to-end sales processes • Ability to meet established deadlines and handle multiple customer service demands within service expectations • Strong attention to detail • Goal oriented • Ability to multi-task in a fast-moving environment and work with multiple deadlines • Proficiency in Microsoft Office suite, including Excel, Word, and PowerPoint • Intermediate English written/verbal skills • Advanced communication skills • Advanced computer skills • Minimum typing speed of 35 wpm • Internet access to perform job duties • Ability to talk and hear; close vision, depth perception, and ability to adjust focus

🏖️ Benefits

• Remote work arrangement • Reasonable accommodations for individuals with disabilities • Equal employment opportunity and protected veteran/individuals with disabilities protections

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