Lead, Contracts Review

This employee assists the Supervisor and Manager of the Contract Review team to ensure that the Contract Review Analyst reviews payor contracts and information associated to contractual obligations, payor fee schedule changes, and posted policy updates for various payors.

• Works with Managed Care Contract Administrators, Payor and Price Table Team, and other required departments to ensure that policy guidelines and changes are updated accordingly and timely
  
  

Job Functions

• 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