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Healthcare Contracting Specialist

Northeast Family Services
locationManchester, NH, USA
PublishedPublished: 6/14/2022
Legal

Job Description

Job Description

Northeast Family Services is seeking an experienced Healthcare Contracting Specialist to support the agency’s growing network of behavioral health services. This role is responsible for helping manage and maintain payer and provider contracts that support our clinical programs across multiple states.

The Healthcare Contracting Specialist will assist in negotiating reimbursement rates, maintaining payer relationships, ensuring contract compliance, and supporting credentialing and contracting activities. This position works closely with leadership, credentialing staff, and finance teams to ensure contracts support efficient service delivery and sustainable reimbursement.

This is an excellent opportunity for someone with experience in behavioral health contracting, managed care, or healthcare administration who enjoys working both independently and collaboratively.

This is a remote, part-time position, but you must reside in NH, RI, MA, or NY.

Duties and Responsibilities:

• Assist in drafting, reviewing, and negotiating contracts with insurance payers and partner organizations

• Support the development and maintenance of reimbursement agreements for behavioral health services

• Maintain organized contract records and ensure timely updates, renewals, and amendments

• Collaborate with internal teams including credentialing, finance, and program leadership to ensure contract terms are properly implemented

• Monitor contract compliance with state and federal regulations, payer requirements, and organizational policies

• Assist in analyzing reimbursement rates, contract terms, and payer policies to support organizational strategy

• Serve as a point of contact for contracting-related inquiries from internal teams and external partners

• Support credentialing and payer enrollment processes as needed

• Assist with preparation for payer audits and contract reviews

• Track contracting timelines and maintain accurate documentation related to payer agreements

• Complete other duties as assigned

Qualifications:

• High School Diploma required; Bachelor’s degree in Healthcare Administration, Business Administration, Health Information Management, or related field preferred

• Minimum 3 years of experience in healthcare contracting, payer relations, or healthcare administration
• Minimum 1 years of experience in behavioral health strongly preferred

• Experience working with managed care organizations, commercial payers, and behavioral health reimbursement models required

• Strong knowledge of healthcare contracting, payer policies, and regulatory requirements

• Excellent negotiation, communication, and relationship management skills

• Strong analytical and organizational abilities

• Proficiency in Microsoft Office Suite, particularly Excel

• Ability to work independently in a remote environment

• Must reside in NH, MA, RI, or NY

Hours / Compensation:

Part Time, 20 hours per week.
Hourly range: $34 - $48 / hour

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