Contract Management Associate
growtherapy
Summary
Join Grow Therapy as a Contract Management Associate and play a crucial role in the Contract Management & Implementation (CM&I) Team within Insurance Operations. You will manage high-impact payor contracts, drive process improvements, and act as a subject matter expert on payor contract management and implementation. This role requires a strong understanding of payor contract and fee schedule management, experience managing and developing payor relationships, and a proven ability to enhance and streamline operational workflows. Grow Therapy offers a competitive salary, comprehensive health insurance, flexible working hours, flexible time off, company-wide winter break, mental health mornings, wellness stipend, in-office meals and snacks, continuous learning opportunities, and the chance to help build a rapidly scaling start-up organization.
Requirements
- 3+ years of experience in insurance operations, contract management, or payor relations within a healthcare setting
- Deep understanding of insurance contracts, payor fee schedules, provider reimbursement models, and regulatory compliance requirements
- Proven experience managing complex projects and cross-functional initiatives with multiple stakeholders
- Analytical mindset with the ability to review, interpret, and improve rate management processes
- Excellent written and verbal communication skills, with the ability to engage directly with payors, internal teams, and leadership
- Excellent problem-solving skills with the ability to identify and resolve rate inconsistencies, contract misinterpretations, and implementation gaps
- Proficiency in Google Drive, CODA, JIRA, Slack, Retool, and other contract management tools
Responsibilities
- Own the implementation of newly executed payor contract data, ensuring all relevant contract details are captured and maintained accurately within internal systems
- Drive implementation of best practices for contract review, organization, and documentation of newly executed contracts to ensure payor compliance
- Provide guidance to other team members on interpreting complex contractual language and any reimbursement structure ambiguity to ensure that Grow is able to maximize collections for newly launched payors
- Proactively lead audits of existing payors for missing information and to validate accuracy for internal and cross-functional use
- Maintain accurate LinkSquares Governing Summaries by proactively seeking and loading new payor files (contracts, provider manuals, payor newsletters, reimbursement policies, etc.)
- Resolve complex rate discrepancies, collect missing fee schedules, and address incorrect payor data elements in a promptly manner
- Serve as a primary liaison for payor contract escalations, ensuring issues related to payor networks or reimbursement discrepancies are addressed efficiently
- Work closely with internal teams to proactively flag potential payor compliance issues and mitigate risks
- Maintain and optimize our payor contact list, ensuring accessibility and accuracy across teams
- Lead efforts to document, analyze, and optimize rate management processes for improved accuracy and revenue optimization
- Implement a quality control process to ensure all uploaded rates align with contract terms and regulatory requirements
- Own the rate discrepancy process to identify and correct any issues caused by process errors
- Work cross functionally to communicate any rate compliance issues not associated with load errors
- Drive key initiatives related to contract execution, rate implementation, and payor partnerships, ensuring alignment with organizational goals
- Collaborate with RCM, Payor Success, and Strategic Partnerships teams to optimize workflows and enhance payor contract outcomes
- Provide strategic recommendations to leadership on process and strategy improvements
Benefits
- The chance to drive impact within the mental healthcare landscape from day one
- Comprehensive health insurance plans, including dental and vision
- Flexible working hours
- Flexible Time Off
- Company-wide winter break
- Mental health mornings (2 hours each week)
- Wellness Stipend
- In-office meals and snacks
- Continuous learning opportunities
- Competitive salary
- The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities
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