Payer Relations Contracting Specialist

Job ID: 25702

Job ID: 25702

Lawrenceville, Georgia

Hybrid

$90000 - $120000

Non-Clinical Healthcare

Direct Hire

Lawrenceville, Georgia

Hybrid

Direct Hire

  Non-Clinical Healthcare

$90000 - $120000

Job Details

Job ID: 25702 
Salary: $90,000 – $120,000 Per Year  
Location: Hybrid in Lawrenceville, GA (2 Days Per Week, Mondays In Person)
Employment Type: Direct Hire  
Schedule: Monday – Friday, 8 AM – 5 PM  
  
A leading provider of patient-centered advanced, minimally invasive treatments, specializing in addressing acute and chronic pain conditions of the neck, back, and joints through state-of-the-art, non-surgical techniques is seeking a Payer Relations Contracting Specialist. 

   

As?Payer Relations Contracting Specialist, you’ll be responsible for developing, negotiating, implementing, and maintaining payer contracts including but not limited to commercial, Medicare Advantage, Medicaid, and employer health plan contracts. This position would report to the RCM Director and work closely with third-party contracting specialists, finance, credentialing, and development teams, as well as executive management to maximize reimbursement while maintaining strong payer relationships. 

  

Essential Duties and Responsibilities  

  • Identify contracting opportunities with commercial insurers. 

  • Oversee third-party contracting services, negotiating reimbursement rates and contract language. 

  • Analyze fee schedules and reimbursement methodologies. 

  • Model the financial impact of proposed agreements with the assistance of third-party analysts. 

  • Maintain relationships with payer provider representatives. 

  • Coordinate with provider credentialing and network enrollment teams. 

  • Manage contract renewals and renegotiations. 

  • Track contract expiration dates and required notice periods. 

  • Review policy updates for potential amendments. 

  • Prepare reports and recommendations for executive leadership. 

  • Other duties as assigned  

  

Qualifications 

  • Strong relationship management and stakeholder communication skills.  

  • Proven project management experience with the ability to manage multiple priorities.  

  • 5–10+ years of healthcare contracting experience, preferably negotiating with major commercial payers.  

  • Experience within a multi-state healthcare practice or ambulatory surgery center (ASC) environment preferred.  

  • Financial analysis experience preferred.  

  • Knowledge of contract interpretation and negotiation preferred.  

  • Advanced Excel and data analysis skills preferred.  

  

Parker Staffing offers all levels of Administrative, Customer Service, Call Center, Sales, and Human Resources job opportunities in the Seattle and Bellevue metro area and other large cities throughout the Nation. Parker Staffing has served as the staffing agency of choice for thousands for over four decades. Visit our employment opportunities page at http://www.parkerstaffing.com to review our full offering of temp, temp-to-hire, and direct hire job openings!  

Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. 

As part of our employment process, candidates who received a conditional offer may be required to undergo pre-employment drug testing. 

Parker Staffing is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status. 

 

Share This Job

Apply Now

I want more
jobs like this in my inbox

Share This Job

Similar Jobs

Benefits- Why Parker Staffing Image
Benefits- Washington's Best Workplace Image

Why Parker Staffing?

Founded four decades ago as a local Seattle-based staffing firm, Parker has become a go-to company of choice for Administrative, Customer Service, Contact Center, Non-Clinical Healthcare, Human Resources, Sales, Mortgage, and Banking job opportunities. Over the years, we’ve steadily grown beyond our Seattle roots to place thousands of candidates in contract, contract-to-hire, and direct hire needs across the United States.

People are at the heart of what we do, and we’re proud to have been named a “Best Place to Work” by Puget Sound Business Journal for over 11 years in a row. From your virtual interview with our recruiting team to our streamlined onboarding experience and ongoing support, our goal is to deliver a high-touch experience that sets you up for success.

Parker contractors tell us they love our:
  • Weekly pay
  • Direct deposit
  • Fast, easy onboarding
  • Digital paperwork (no printer required!)
  • Dedicated support team

Benefits & Perks

As a Parker contractor, you have access to a variety of benefits including medical benefits with multiple plan tiers and telemedicine access, 401k plan with matching contributions, Paid Sick/Safe Time (where allowable by law), and holiday pay. And because we know life happens, we also offer an Employee Assistance Program (EAP) at no cost to you. Additional details about benefits and eligibility criteria are provided during your onboarding with Parker.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.