Consultant, Payor Enrollment & Contracting

POSITION OVERVIEW

The Consultant, Payor Enrollment & Contracting is part of PayrHealth's Managed Care Contracting & Strategy team and serves as a primary point of contact for provider clients. The Consultant builds long-term, trust-based client relationships and guides clients through payor enrollment and credentialing while leading payor contract negotiations on their behalf. They partner with internal teams to manage client documentation, analyze contract and payor data, resolve issues, and identify managed care trends that inform client strategy.

DUTIES & RESPONSIBILITIES

• Manage and strategize the payor enrollment, credentialing, and contracting process for assigned client accounts.


• Communicate with clients to understand their goals and explain the value of PayrHealth's services.


• Build relationships with clients based on trust and respect.


• Collaborate with internal departments to deliver a seamless client experience.


• Identify, grow, and maintain payor relationships as they pertain to client accounts.


• Lead payor contract negotiations and renegotiations on behalf of clients.


• Collect and manage documentation in the CRM.


• Collect and analyze contract, reimbursement, and payor data to inform client strategy.


• Keep accurate records and project plans.


• Maintain up-to-date knowledge of PayrHealth's services and the payor landscape.


• Resolve client concerns and prevent recurring issues through process improvements.


• Identify managed care and industry trends.


• Act as a client advocate with a focus on client retention and ongoing value.


• Support the onboarding and training of new team members.


• Perform other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES

• Exceptional verbal and written communication skills.


• Ability to collect, track, and analyze large amounts of data.


• Adaptability and strong problem-solving skills.


• Strong networking and negotiation skills.


• Excellent active listening skills.


• Ability to build rapport and collaborate with internal teams, clients, and payors.


• Understanding of payor behavior, reimbursement, and managed care trends.


• Working knowledge of payor enrollment and credentialing processes.


• Proficient in Microsoft Office; experience with CRM or contract management platforms.

EDUCATION & EXPERIENCE

• Bachelor's degree in a related field a plus.


• 2+ years' experience managing client accounts, payor enrollment, credentialing, or contracting in a healthcare or managed care setting.

WORK ENVIRONMENT & PHYSICAL DEMANDS

• Remote position; reliable high-speed internet and a dedicated workspace required.


• Long periods of computer work, communication, and record keeping.


• Regular communication by phone and video conference.


• Occasional travel, including air travel, as needed.