Top 21 Contract administrator Jobs in Greenville, Sc

Payor Contract Administrator F/T Day Remote
Prisma Health —Greenville, SC
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- Contracts
Research Contract Specialist (Remote), Research Services - Clinical Research Management (Full-Time, Days)
Prisma Health —Greenville, SC
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
14d
Construction Contract Administrator
McMillan Pazdan Smith LLC —Greenville, SC
- Construction site
- Mid-level
- Office
Quick Apply
Director II, Contract Management
Fluor Enterprises, Inc-FD —Greenville, SC
- $166,500 - $309,500 a year
- Office
- Bachelor's degree
- US work authorization
- AD&D insurance
- Disability insurance
14d
Manager, Contract Management
Fluor Enterprises, Inc-FD —Greenville, SC
- $102,000 - $184,000 a year
- 11+ years
- Bachelor's degree
- US work authorization
- AD&D insurance
- Disability insurance
Sales and Settlement Administrator
NVR, Inc —Greenville, SC
- Mid-level
- Office
- US work authorization
- Profit sharing
13d
Director I, Contract Management
Fluor Enterprises, Inc-FD —Greenville, SC
- $139,000 - $258,000 a year
- 5 years
- Office
- Bachelor's degree
- AD&D insurance
- Disability insurance
14d
Project Administrator
Palmetto Rock —Duncan, SC
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Project Administrator, Harper Electrical - Greenville
HarperGC —Greenville, SC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Grants Administrator I
State of South Carolina —Pickens County, SC
- $52,100 - $66,000 a year
- Monday to Friday
- Mid-level
- Office
- Bachelor's degree
- Disability insurance
- Health insurance
9d
Specialist, Payer Relations
Ovation Healthcare —Welcome, SC
- Full-time
- Customer service
- Mid-level
- Office
Research Grants Coord.
Spartanburg Regional Healthcare System —Greer, SC
- Full-time
- English
- Mid-level
- Master's degree
- Travel reimbursement
Quick Apply
Proposal Specialist
Wabtec —Duncan, SC
- $79,100 - $112,800 a year
- Full-time
- 5 years
- Engineering
- Pass drug screening
Quick Apply
Grant Services Specialist
PRESTIGE SCHOOL SOLUTIONS LLC —Greenville, SC
- $48,500 - $65,000 a year
- School experience
- Microsoft Excel
- Microsoft Outlook
- 401(k)
- Paid time off
Quick Apply
10d
Resource Forester
Top Wood Jobs —United States
- $120,000 - $140,000 a year
- Email
- 7 years
- Administrative experience
- Supervising experience
- Relocation assistance

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Payor Contract Administrator F/T Day Remote

Prisma Health -
Greenville, SC

Apply Now

Job Details

Full-time

Qualifications

Managed care organization experience

Full Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Performs operational and financial analysis to evaluate assigned projects in support of managed care operations, services, and initiatives. Performs proactive servicing of contracts and analysis of contract performance to include variance support and payor engagement. Resolves contracting and reimbursement issues. Prepares findings into summaries and documents suitable for leadership presentation. Provides managed care education and communication.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Supports the affiliate with resolution of issues related to managed care contracts for facilities, departments and employed physicians. Responsible for communicating with affiliate and monitoring contractual adjustments, communication of contract policies and procedures, and contract compliance issues. Escalates issues that impact company goals.
Works closely with Provider Enrollment to help resolve any payor issues and participates on monthly enrollment calls.
Schedules and participates in meetings with affiliate administrators, directors, and medical directors on issues related to managed care contracting strategies and provides ongoing education and communication of local and national managed care trends.
Works closely with facility and physician revenue cycle departments to remediate contractual issues and assist in facilitating reimbursement related issues as they arise. Participates in monthly revenue cycle payor calls.
Assists department leaders on managed care issues with outside organizations such as managed care organizations, the State Hospital Association and other health care providers. Represents the Affiliate when communicating or meeting with representatives from Managed Care Organizations (HMOs, PPOs, Insurance Networks). Supports management and interacts with Directors or Vice Presidents when conducting business with managed care organizations. Responsible for assisting in and maintaining and enhancing relationship with managed care organizations.
Supports and delivers educational programs and seminars for staff, provider personnel and clients. Assists as needed with projects of significant scope that have Affiliate implications. Works with department heads to obtain additional resources as needed.
Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

Education - Bachelor's degree
Experience - Five (5) years of managed care experience.

In Lieu Of

In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Master's degree and two (2) years of managed care experience.

Required Certifications, Registrations, Licenses

Knowledge, Skills and Abilities

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019069 Managed Care Contracting

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Apply Now

Refine Your Search

contract administrator jobs in greenville, sc

Payor Contract Administrator F/T Day Remote

Research Contract Specialist (Remote), Research Services - Clinical Research Management (Full-Time, Days)

Construction Contract Administrator

Director II, Contract Management

Manager, Contract Management

Sales and Settlement Administrator

Director I, Contract Management

Project Administrator

Project Administrator, Harper Electrical - Greenville

Grants Administrator I

Specialist, Payer Relations

Research Grants Coord.

Proposal Specialist

Grant Services Specialist

Resource Forester

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