At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for our employees.
Contracts and Payor Specialist - RemoteSalary - $55,000-$78,000 annuallyThe Specialist is responsible for identifying and securing public and private insurance contracts; reviews and organizes existing contracts. Assists with the development of potential relationships with strategic partners and creates measurable business results for various markets.
Contracting And Credentialing
Works in partnership with Program Directors and Director of Contracts and Payor Engagement to ensure consistency and secure public and private insurance contracts
Analyzes and monitors financial aspects of existing contracts and maintains original documentation of all contracts
Identifies, contacts, and creates relationships with potential payors that result in new contracts and increased funding possibilities for program participants
Conducts rate and contract negotiations
Describes CFS programs to potential contract sources
Communicates with state directors, and state operating/marketing staff regarding contract specifics. Ensures commitments to participants, family, referral sources and payors are met
Completes contract related credentialing and enrollment application requirements
Maintains database of licenses, accreditation forms, financial and organizational information for the purpose of efficient and timely enrollment application
Oversees Single Case Agreement process within the Admissions Teams. May take lead in difficult single case negotiation
Other Duties
Communicates contract executions and requirements to all internal departments
Facilitates resolution of contract related issues with billing and collections team
Performs other related duties and activities as required
Qualifications
Bachelor’s degree in Rehabilitation Administration, Business Administration or related field preferred
Three to five years’ experience with contracts, managed care, and health insurance related industry preferred
A reliable, responsible attitude and a compassionate approach
A commitment to quality in everything you do
Why Join Us?
Full time position
Full compensation/benefits package for employees working 30+ hours/week
401(k) with company match
Paid time off and holiday pay
Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers
Enjoy job security with nationwide career development and advancement opportunities
We have meaningful work for you – come join our team – Apply Today!Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. With Corporate operations located in the Boston Seaport, Lawrence, Massachusetts and Edina, Minnesota, today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.
Sevita is committed to providing equal opportunities to all employees and applicants for employment. We are committed to creating an inclusive and diverse workplace that values and respects the unique talents, experiences, and perspectives of our employees and the people we serve. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, pregnancy, gender identity or any other characteristic protected by law.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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