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Lincare · 2 weeks ago

Lead, Contracts Review

Largo, FL

Full-time

Onsite

Senior Level

Lincare is a company focused on healthcare services, and they are seeking a Lead for their Contracts Review team. The role involves assisting in the review of payor contracts and ensuring timely updates to policy guidelines and changes in collaboration with various departments.

Health CareHealth DiagnosticsMedical

Responsibilities

Assists in identifying payor changes that need to be addressed

Works with BIS, payor, and price table group to ensure that payor policies are followed and updated according to payor guidelines once changes have been identified

Communicates with the payor regarding policy information

Delivers directives from corporate office as they apply to policy changes and updates

Qualification

Contract ReviewManaged CarePolicy UpdatesCommunicationTeam Collaboration

Required

Assists the Supervisor and Manager of the Contract Review team

Ensures that the Contract Review Analyst reviews payor contracts and information associated to contractual obligations

Reviews payor fee schedule changes

Reviews posted policy updates for various payors

Works with Managed Care Contract Administrators

Works with Payor and Price Table Team

Ensures that policy guidelines and changes are updated accordingly and timely

Assists in identifying payor changes that need to be addressed

Works with BIS, payor, and price table group to ensure that payor policies are followed and updated according to payor guidelines once changes have been identified

Communicates with the payor regarding policy information

Delivers directives from corporate office as they apply to policy changes and updates