Payor Strategy Contract Coordinator

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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 the contractual process for managed care proposals, letters of interest, and payor paperwork • Serve as the primary liaison for regional payors • Maintain electronic copies of signed contracts in accordance with federal, state, and local guidelines • 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 new filing formats • Complete and disseminate Health Plan Contracting Announcement Forms • Document contract terms, fee schedules, and billing requirements • Ensure fee schedules remain current based on contractual terms • Communicate new and amended contracts to internal departments • Routinely audit processes to secure optimal status • Develop and execute contract documents aligned with annual strategy and company objectives • Prepare opportunity analyses for pricing and in-network/out-of-network decisions • Evaluate and monitor contract profitability, including renegotiation or termination when necessary • Maintain payor participation listings for billing and sales teams • Develop solutions for payor- and contract-related issues with the Billing Management Team • Identify problem payors and reimbursement trends negatively affecting cash collections • Educate internal and external clients/customers about exceptional payer requirements • Proactively pursue payors for contracts based on volumes, payments, collection percentages, and sales opportunities • Act as liaison between the Billing A/R team and payor relations when contractual A/R issues escalate • Perform other duties as assigned

🎯 Requirements

• 3 years of prior contracting experience • Minimum 4 years of experience in health care billing/accounting • High School Diploma required • Deep understanding of payer dynamics, value-based care models, and healthcare regulation • Proven track record in contract negotiation and end-to-end sales processes • Excellent verbal and written communication skills • Ability to meet established deadlines and handle multiple internal and external customer service demands • Strong attention to detail • Goal oriented • Ability to multitask in a fast-moving environment and manage multiple deadlines • Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint • Experience with contract management software preferred • Comprehensive knowledge of managed care for non-government payor relations programs • Intermediate Microsoft Office skills • Advanced communication skills • Advanced computer skills • Intermediate typing skills; minimum 35 words per minute • Team player • Detail oriented • Internet access required to perform job duties

🏖️ Benefits

• Remote work arrangement • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities