How Remoteville checks and expires listings
Payer Contracting & Revenue Integrity Expert
Skills
Fee SchedulesFinancial AdvisoryHealthcare ConsultingInterest RatesLeadershipMobile Application PartNegotiation
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- Extensive managed care leadership experience in provider contracting or revenue integrity
- Direct experience negotiating managing and enforcing payer contracts
- Hands-on knowledge of underpayments reimbursement leakage and contract non-compliance
- Ability to review contracts fee schedules and payment variance workflows
- Background in hospitals health systems physician groups or payer organizations
- Experience advising product teams on market needs and workflow priorities
- Ability to participate in periodic strategy and product review sessions
Nice to have
- Strategic thinker
- Commercially minded
- Cross-functional collaborator
- Healthcare domain expert
- Product-savvy
Day to day
- Work directly with founders as a subject matter expert during product development.
- Map real-world managed care contracting workflows and identify where reimbursement breaks down.
- Review payer contracts fee schedules reimbursement methodologies and payment variance workflows to guide product design.