Payor Strategy Contract Coordinator

TridentCare

. Manage managed care contract administration across all Trident business entities .

Posted 10/30/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managed care contract administration, including contract negotiation, analysis, and implementation. Proficient in managing payer relations and ensuring compliance with healthcare regulations while maintaining effective communication with internal and external stakeholders.

Highest-signal resume keywords

Managed Care Contract AdministrationContract NegotiationHealthcare Billing/AccountingPayer Dynamics UnderstandingContract Management Software

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract AnalysisFee Schedule ManagementOpportunity AnalysisPayer RelationsContract DocumentationPayment AuditingMicrosoft ExcelMicrosoft WordMicrosoft PowerPointTyping Speed of 35 WPM

Soft Skills

Excellent Verbal CommunicationExcellent Written CommunicationAttention to DetailGoal OrientedAbility to Multi-task

Tools & Technologies

Contract Management SoftwareTracking MechanismsElectronic Document Management

Industry Keywords

Managed CareNon-Government Payor RelationsValue-Based Care ModelsHealthcare RegulationContracting Experience

About the role

Key responsibilities & impact

Manage managed care contract administration across all Trident business entities
Report directly to the Sr. Manager RCM, Payer Strategy
Work with Management Team and Sales team to identify contracting and business opportunities
Analyze contracts for efficiencies and profitability
Implement contracts operationally and audit payments using tracking mechanisms
Manage completion and submission of managed care proposals and payor paperwork
Serve as primary liaison for regional payors
Maintain electronic copies of signed contracts
Outline contract provisions and analyze rate impacts
Assist the Reimbursement team with non-government payor audits and inquiries
Review proposals and responses with the Sr. Manager for approval
Work with System Support to load and test fee schedules and filing formats
Disseminate Health Plan Contracting Announcement Forms to affected personnel
Document contract terms, fee schedules, and billing requirements
Maintain current fee schedules and communicate new or amended contracts internally
Audit processes to secure optimal status
Develop and execute contract documents aligned with annual strategy
Prepare opportunity analyses for pricing and in-network/out-of-network decisions
Evaluate contract profitability and renegotiate or terminate contracts when necessary
Maintain payor participation listings for billing and sales teams
Develop solutions for payor and contract-related issues with Billing Management
Identify problem payors and reimbursement trends affecting cash collections
Educate internal and external clients about exceptional payer requirements
Pursue payor contracts based on volumes, payments, collections, and sales opportunities
Liaise between Billing A/R and payor relations when contractual A/R issues escalate
Perform other duties as assigned

Requirements

What you’ll need

3 years prior contracting experience
4 years minimum experience in health care billing/accounting
High School Diploma required
Experience with contract management software preferred
Comprehensive knowledge of managed care for non-government payor relations programs
Excellent verbal and written communication skills
Deep understanding of payer dynamics, including value-based care models and healthcare regulation
Proven track record in contract negotiation and managing end-to-end sales processes
Ability to meet established deadlines and handle multiple customer service demands within service expectations
Strong attention to detail
Goal oriented
Ability to multi-task in a fast-moving environment and work with multiple deadlines
Proficiency in Microsoft Office suite, including Excel, Word, and PowerPoint
Intermediate English written/verbal skills
Advanced communication skills
Advanced computer skills
Minimum typing speed of 35 wpm
Internet access to perform job duties
Ability to talk and hear; close vision, depth perception, and ability to adjust focus

Benefits

Comp & perks

Remote work arrangement
Reasonable accommodations for individuals with disabilities
Equal employment opportunity and protected veteran/individuals with disabilities protections