Provider Contracting Specialist
We are looking for a proactive and detail-oriented Provider Contracting & Client Success Manager to oversee payer negotiation projects and support healthcare clients in optimizing reimbursement outcomes. This role combines contract negotiation, project management, and client relationship management to ensure successful execution of strategic initiatives.
The ideal candidate is highly organized, confident in navigating healthcare payer relationships, and motivated by delivering measurable financial improvements for clients.
Key Responsibilities
Client & Project Management
Manage a portfolio of client engagement projects from onboarding through completion
Develop and maintain project timelines, deliverables, and status updates
Coordinate communication between internal teams, clients, and payer representatives
Ensure all projects progress efficiently and meet established milestones
Provide clients with regular progress reports, insights, and recommendations
Contract Negotiation & Reimbursement Strategy
Initiate and manage communication with insurance payers through phone, email, provider portals, and written correspondence
Prepare negotiation proposals supported by reimbursement analysis and market data
Review fee schedules, contract language, and reimbursement methodologies
Advocate for improved reimbursement rates and favorable contract terms
Support strategic initiatives related to Medicare allowable rates and market benchmarking
Maintain accurate records of negotiation activity, outcomes, and supporting documentation
Reporting & Operations
Track project metrics, negotiation progress, and reimbursement outcomes
Maintain organized documentation for reporting, invoicing, and compliance purposes
Identify opportunities to improve workflows, reporting processes, and client experience
Collaborate with leadership on strategic contracting initiatives and operational improvements
Qualifications
Required
Experience in healthcare contracting, payer negotiations, revenue cycle management, or healthcare operations
Strong project management and organizational skills
Excellent written and verbal communication abilities
Ability to manage multiple priorities and deadlines simultaneously
Analytical mindset with experience reviewing reimbursement data and fee schedules
Self-motivated, resourceful, and comfortable working independently in a remote environment
Proficiency with Microsoft Excel, Google Workspace, and CRM or project management tools
Preferred
Experience working with Orthotics & Prosthetics (O&P), DME, or other specialty healthcare sectors
Familiarity with Medicare fee schedules and commercial payer reimbursement methodologies
Knowledge of healthcare contract terminology and negotiation strategy
Experience using business intelligence or reporting tools
Key Competencies
Negotiation & relationship management
Strategic thinking & problem-solving
Client communication & customer service
Attention to detail
Time management & prioritization
Financial and reimbursement analysis
How Success is Measured
Improved reimbursement rates and contract outcomes for clients
Timely completion of client projects and deliverables
High client satisfaction and communication responsiveness
Accurate documentation and reporting of all project activities
Ability to independently manage projects with minimal oversight
Why Join Us
Fully remote work environment
Opportunity to make a direct impact on healthcare client financial performance
Collaborative and growth-oriented culture
Exposure to high-level payer negotiation and healthcare strategy initiatives
Flexible and dynamic work environment with opportunities for advancement
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