Payor Contracting Specialist

We focus on bringing high-quality, accessible, and value-based effective tech-enabled care to those with Addiction Disorders, especially those in communities for whom traditional care has been found lacking. We provide evidence-based, scalable, holistic healthcare while working alongside community-based organizations to ensure that our care is accessible, non-punitive, and responsive to our communities. We build trusted relationships and healing spaces to nourish Belonging, Love, and Purpose.

Are you passionate about making a positive impact on people's lives? Do you want to be part of a groundbreaking team that is transforming the field of substance use disorder treatment? If so, we have an exciting opportunity for you!

At Better Life Partners, we are revolutionizing how substance use disorders are treated, and we're looking for highly motivated individuals to join our team as Payor Contracting Specialists. As a Payor Contracting Specialist, you will play a vital role in providing essential care and support to individuals undergoing treatment for substance use disorders, all from the comfort of your own home.

The Role

We are seeking a Payor Contracting Specialist accountable for researching requirements for group enrollment to eligible FFS contracts. As well as the maintenance of our existing contracts and supporting our overall contracting processes. The Contracting Specialist serves a crucial role on our finance team as they help ensure that our contracts are in compliance and up-to-date, and ensure that Better Life Partners is appropriately reimbursed for services. The Specialist is the main expert on our group and provider enrollments.

What you will do:

• Responsible for researching requirements for new FFS contracts in our existing and future markets.
• Initiate and follow through the contracting process until BLP is enrolled as a provider group with a new payer.
• Overall maintenance of BLP payer FFS and value-based contracts, addendums, renewal terms, and required notification or due dates.
• Maintenance of new and existing service locations for all existing contracts.
• Maintenance of service locations internally within our EHR and Practice Management systems.
• Supports the maintenance of a common provider directory/database for enrollment with payors (provider roster).
• Responsible for obtaining copies of updated fee schedules from payors to share with RCM Leadership on a bi-annual basis.
• Update contract summaries per payor in all states for RCM to use as a point of reference.
• Assist with all contracting administration and projects, as needed

You are a good fit if you have:

• Bachelor's Degree or Equivalent experience
• Experience supporting Payor Contracting and delegated credentialing agreements with various insurance companies (Medicaid, MCOs, Medicare, commercial plans, etc.) across various states.
• Dedication to completing challenging tasks
• Enjoys working in a fast-paced and rapidly changing environment.
• Strong relationship-building skills both external and internal.
• Thrive on working independently

• Bachelor's Degree or Equivalent experience
• Experience supporting Payor Contracting and delegated credentialing agreements with various insurance companies (Medicaid, MCOs, Medicare, commercial plans, etc.) across various states.
• Dedication to completing challenging tasks
• Enjoys working in a fast-paced and rapidly changing environment.
• Strong relationship-building skills both external and internal.
• Thrive on working independently
• Deep knowledge of medical insurance payers and regulations
• Knowledgeable in the healthcare & mental health industries - terminology, regulations, and processes
• Prior project management experience
• Prior experience working in provider contracting on the provider end

Work-from-home requirements:

• Must have internet service with minimum upload/download ability.
• The company will provide equipment (laptop, monitor, keyboard, mouse, and headset) plus a remote work stipend.
• Must have a quiet space to speak to members with minimal background noise.
• Must understand the importance of protected health information and ensure any data/information is not visible to others.

This is a full-time, exempt (salaried) position. The starting range for this position is $49,200 - $65,400 annually.

We offer:

• A Competitive salary and benefits package including:
  • Employee stock options for all full-time employees;
  • Health insurance, dental, and vision coverage;
  • Paid time off, sick and wellness days;
  • Employer-paid life insurance and long-term disability coverage;
  • Professional and educational reimbursements;
  • Remote work stipend; and
  • 401(k) retirement plan with an employer match.
• An environment that will challenge and engage you, supporting you to develop and grow professionally and personally.
• A collaborative and supportive work environment that will value family life, diversity, equity, and inclusion.
• The chance to make a significant positive impact on the lives of the millions of people who otherwise might not have access to life-saving care.

At Better Life Partners, we believe our work directly correlates to the diverse perspectives of our team. Better Life Partners celebrates inclusion and is a committed Equal Opportunity Employer to all qualified applicants, ensuring individuals will not be discriminated against based on race, color, religion, sex, gender identity, sexual orientation, age, national origin, physical or mental disability, marital or parental status, military or veteran status, or any other protected classification. Persons of color, women, LGBTQIA candidates, veterans, and individuals with disabilities are encouraged to apply. Better Life Partners prides itself on being a recovery-friendly workplace.