Contract Management Associate

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growtherapy

πŸ’΅ $90k-$118k
πŸ“Remote - United States

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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