Contracting and Payor Relations Specialist

Lynn Community Health Center

Contracting and Payor Relations Specialist

The primary purpose of this job is to manage payor relations between Lynn Community Health, Inc and insurance companies. This individual will review contracts, conduct analysis, negotiation, implementation, payer relations, and payor credentialing for the health center.

Responsibilities:

Identifies, analyzes, and manages payor projects, as assigned, such as auditing contract provisions, completing credentialing requests, interdepartmental work groups, negotiations and maintenance of payor contracts and legal files.
Understands legal terms and concepts related to contracting; Must be able to research state and federal laws and statute and interpret their meaning and use in Managed Care contracts.
Negotiates Single Case Agreements with Payers as may be required.
Own the credentialing process for each payor and submit all relevant information timely.

Qualifications :

Minimum Education: HS Diploma or equivalent Required
2-3 years of experience.

Minimum Work Experience

Previous experience in health care business office, contracting or payer organization Required

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Contracting and Payor Relations Specialist in Lynn, MA vacancy

Senior Pharmacy Contracting & Provider Relations Analyst
$66k - $106k
...Prime Therapeutics is seeking a Provider Relations Analyst Sr to manage pharmacy contracting for their independent network. The ideal candidate will have at least 5 years of relevant experience and a Bachelor's degree. Key duties include resolving contract inquiries and...
Suggested
Contract work
Remote work
Prime Therapeutics
Boston, MA
4 days ago
SCA & Labor Relations Specialist
$60k - $65k
...Overview The Work: The SCA & Labor Relations Specialist provides operational support in the areas of SCA compliance and labor relations... ...position is responsible for ensuring compliance with the Services Contract Act (SCA) and supporting collective bargaining agreement...
Suggested
Full time
Contract work
Temporary work
Work at office
Local area
Remote work
Flexible hours
Cayuse Holdings
Boston, MA
1 day ago
Provider Relations Specialist
...MassachusettsJob SummaryWe are seeking a Provider Revalidation Specialist to support the provider revalidation process. This role... ...credentialing, provider enrollment, network management, or provider relations in healthcareIntermediate proficiency with MS Excel and WordMust...
Suggested
Remote work
Overture Partners
Lynn, MA
1 day ago
Labor Relations Specialist
...professional and administrative support for the Authority's labor relations functions within the Human Resource Department. Assists with... ...documents. Conducts research related to grievances, contract administration, disciplinary history, labor trends, bargaining...
Suggested
Contract work
Work at office
Local area
Remote work
Monday to Friday
Massachusetts Water Resources Authority
Winthrop, MA
5 days ago
Specialist - Project Management & Strategic Operations (Contract)
$35 - $38 per hour
...Project Management & Strategic Operations Specialist Area : Pharmaceutical Sciences... ...the larger CMC Project Management team's contracting and business needs including entering contract... ...tool for legal review and approval of related technical documents and RFPs and...
Suggested
Contract work
Temporary work
Work experience placement
Work at office
Flexible hours
Vertex Pharmaceuticals
Boston, MA
3 days ago
Specialist - Project Management & Strategic Operations (Contract)
$35 - $38 per hour
...Project Management & Strategic Operations Specialist The Project Management Specialist... ...the larger CMC Project Management team's contracting and business needs including entering... ...tool for legal review and approval of related technical documents and RFPs and submits...
Contract work
Work experience placement
Work at office
Flexible hours
Ver-Tex
Boston, MA
4 days ago
High-Throughput Cellular Assays Specialist (Contract)
...at Monte Rosa. The ideal candidate should have a Bachelor's in Biochemistry or related field, experience in molecular biology techniques, and a collaborative spirit. This is a 6-month contract position located in Boston, Massachusetts. #J-18808-Ljbffr Monte Rosa...
Contract work
For contractors
Monte Rosa Therapeutics, Inc
Boston, MA
2 days ago
Senior Career Advancement Specialist (S)
...Position: Senior Career Advancement Specialist Reports To: Site Manager Location:... ...Provide transportation to employment-related activities as needed (interviews, assessments... ...supported employment schedules and monitor contract utilization Submit accurate daily...
Full time
Contract work
Immediate start
Monday to Friday
Flexible hours
Weekend work
Afternoon shift
Triangle(MA)
Salem, MA
7 days ago
Patent Agent (Mechanical or Related Field)
$130k - $220k
...Qualifications Bachelor's degree in mechanical engineering or related field required; graduate degree a plus. Registration to... ...and requirements for the performance of this job. It is not a contract or employment agreement and is not to be construed as an exhaustive...
Full time
Contract work
Work at office
Fox Rothschild
Boston, MA
5 days ago
Revenue Cycle Specialist III
$24 - $36 per hour
...! Position Summary: Revenue Cycle Specialist performs a wide spectrum of billing functions... ...history (track claim submission and payor response). Work the priority Epic... ...and/or expression or any other non-job-related characteristic. If you need accommodation...
Fixed term contract
Immediate start
Flexible hours
NeighborHealth
Revere, MA
23 hours ago
Patient Family Relations Specialist, Float
The Patient Family Relations Specialist is responsible for emails, visits and correspondence to serve as a liaison between patients, loved ones, and staff in acknowledging and responding to feedback (complaints, grievances, compliments) and other requests in a compassionate...
Work at office
Remote work
Flexible hours
Afternoon shift
Massachusetts General Hospital
Boston, MA
1 day ago
Endoscopy Technician - Contract Opportunity
$1,480 - $1,643 per week
...Health Care is seeking an experienced Endoscopy Technician for a contract assignment at a partnering Hospital in Salem, Massachusetts. As... ...or equivalent required; Associate's degree in a healthcare-related field preferred Completion of an Endoscopy Technician or Sterile...
Weekly pay
Contract work
Local area
Supplemental Health Care
Salem, MA
2 days ago
Front Desk Specialist Part Time
$18.85 - $23.55 per hour
...Front Desk Specialist Part Time MSO SMN Centennial 1701 - Peabody, MA 01960 Overview... ...history forms, consent forms, and payment contract forms, when necessary. Performing... ...One-year medical office, call center or related experience. Patient Services experience...
Hourly pay
Contract work
Part time
Work at office
Local area
Shift work
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.
Peabody, MA
3 days ago
Lead, Pricing & Contracting - Americas Market Access, Global Rare Disease
...developing, implementing, and analyzing contracting strategies across all customer segments,... ...up to date and current on Market Access related policies along with outside vendors and... ...policy infrastructure, public and private Payor policy infrastructure, payment...
Hourly pay
Contract work
Local area
Remote work
Relocation package
Flexible hours
Chiesi USA
Boston, MA
3 days ago
Orientation & Mobility Specialist - Peabody, MA
$47.43 - $67.43 per hour
...position is for an Orientation and Mobility Specialist (OMS) working with K-12 students across... ...Maintain detailed records and reports related to student progress and programming.... ...week (Monday-Friday, 8:15 AM - 3:15 PM) Contract position with the current school year (2...
Full time
Contract work
Monday to Friday
Soliant Health
Peabody, MA
4 days ago
Senior Specialist, Manufacturing Technical Operations (Contract)
$65 - $69 per hour
...Job Description This Senior Specialist in Manufacturing Technical Operations (MTO) is responsible for complete ownership of quality... ..., experience, location and/or being pursued and other job-related factors permitted by law. In addition, this role will be eligible...
Contract work
Temporary work
Work experience placement
Immediate start
Vertex Pharmaceuticals
Boston, MA
20 hours ago
Authorization Specialist
...currently has a Remote Authorization Specialist position available. The normal schedule... ...education programs in the period specifically related to professional development, LEAN and/... ...Medicare, Medicaid and third-party payor contracts preferred Knowledge of HIPAA Privacy...
Full time
Temporary work
Local area
Remote work
Monday to Friday
New England Life Care
Woburn, MA
17 hours ago
Mobile / Tablet Specialist / Boston, MA ,14+ Months Contract
...Job Title IDCS Readiness Mobile Specialist Job Description The IDCS Readiness Mobile Specialist will be a Transit Applications... ...'s degree or four or more (4+) years experience in a computer related field. Experience supporting devices such as handheld scanners...
Contract work
Remote work
Flexible hours
Suncap Technology
Boston, MA
4 days ago
Senior Compliance Leader - Government Contracting Compliance
$181k - $250k
...Description Summary The Senior Compliance Leader - Government Contracting Compliance is the owner of GE Aerospace Government Contracting... .... Provide advice, training, and support principally related to the risk area. Investigate compliance concerns, manage audits...
Contract work
Relocation package
GE Aerospace
Lynn, MA
3 days ago
Stretch Specialist
$15 per hour
...PT-Stretch Specialists PT-Stretch Specialists are responsible for supporting all members... ...sessions using techniques like PNF and contract-relax stretching. Leads clients through... ...in Kinesiology, Sports Medicine or other related field Assisted Stretching...
Hourly pay
Full time
Contract work
Temporary work
Flexible hours
Lifetime
Peabody, MA
5 days ago
Program Specialist - Wic
...Description Job Description Summary: The WIC Program Specialist provides administrative support to ensure smooth program operation... ...all state and federal standards quality assurance standards related to the bi-annual local program evaluation. Customer...
Temporary work
Work at office
Local area
Afternoon shift
Lynn Community Health Center
Lynn, MA
more than 2 months ago
Pharmacovigilance Case Specialist (Contract)
...communication skills. The ideal candidate will have experience with safety databases and a background in pharmacovigilance. This position is contract-based with the potential for extension or conversion to full-time, offering competitive pay and benefits including weekly pay and...
Weekly pay
Full time
Contract work
Tailored Management
Cambridge, MA
1 day ago
Senior Cell Culture Ops Specialist - Contract
...biosafety guidelines (e.g., BSL‑2). What You’ll Need to Succeed B.S. or M.S. in Cell Biology, Molecular Biology, Bioengineering, or related discipline. 3+ years (B.S.) or 2+ years (M.S.) of relevant experience with a strong focus on mammalian cell culture. Demonstrated...
Contract work
For contractors
Lila Sciences
Cambridge, MA
17 hours ago
Community Relations Specialist
$97.99k - $108.88k
Eversource will not offer immigration-related sponsorship for this position. Applicants who require immigration sponsorship—either now or in the future—should not apply. This includes, but is not limited to, direct company sponsorship, listing Eversource as the employer...
For contractors
H1b
Work at office
Local area
Remote work
Relocation package
Night shift
Weekend work
Afternoon shift
Eversource
Danvers, MA
2 days ago
Consultant Relations Specialist
$70k - $80k
...-all designed to support the meaningful, collaborative work that defines Acadian. Position Overview: The Consultant Relations Specialist position supports Acadian's investment consultant engagement efforts which encompass aspects of both relationship management...
Casual work
Work at office
Worldwide
Flexible hours
3 days per week
Acadian Asset Management
Boston, MA
2 days ago
Program Associate - Workforce Utilization & Contracts
...ABOUT YOU As a Program Associate - Workforce Utilization & Contracts, you bring a strong commitment to equity and fairness, applying... ..., business, procurement, construction project management, or a related field. Strong communication, presentation, administrative,...
Contract work
For contractors
Work at office
Massachusetts Port Authority
East Boston, MA
2 days ago
People Experience Associate (Contract)
$29 per hour
...practices. This role is hybrid - 3 days in office. Contract role - will start with 6 months and has the chance to extend up... ...competencies, experience, location and/or being pursued and other job-related factors permitted by law. In addition, this role will be...
Contract work
Temporary work
Internship
Work at office
Local area
Flexible hours
Vertex Pharmaceuticals
Boston, MA
1 day ago
Colleague Relations Specialist (CR Services)
Colleague Relations Specialist (CR Services) Join to apply for the Colleague Relations Specialist (CR Services) role at Primark Colleague Relations Specialist (CR Services) 1 week ago Be among the first 25 applicants Join to apply for the Colleague Relations Specialist...
Full time
Local area
Remote work
Trial period
Flexible hours
Primark
Boston, MA
3 days ago
Contracts Analyst (hybrid onsite/remote)
$95k - $105k
...Fulltime Employment Opportunity - Flexibility To Work Remotely The Contracts Analyst is responsible for the following: Administers... ...experience. Graduate Degree and a minimum of 3 years of prior related experience Must have experience and a thorough understanding...
Full time
Contract work
For contractors
Work experience placement
For subcontractor
Work at office
Remote work
Work from home
LABINE AND ASSOCIATES, INC.
Cambridge, MA
22 hours ago
Contract Analyst
...individual to join our client's legal department with a focus on contract administration. A seasoned, veteran paralegal with in-depth... ...professional services, non-disclosure agreements and other commercially related agreements worldwide Expand and improve database of...
Contract work
Worldwide
Flexible hours
Back Bay Staffing Group
Boston, MA
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Contracting and Payor Relations Specialist. Be the first to apply!