Insurance Management

The Opportunity

Navigation of the regional payer landscape requires precision and strategy. In this role, you will be responsible for managing the contractual relationships between healthcare providers and insurance payers, ensuring that all clinical services are mapped to optimized reimbursement models.

Core Duties

• Lead payer-provider contract negotiations and model financial impacts.

• Monitor regulatory changes from CHI, DHA, and DOH.

• Resolve high-level claim disputes and credentialing bottlenecks.