SUMMARY: This position will provide support to the Department of Business Development in the area of Insurance Contracting and Contract Maintenance. Key areas of focus will include research projects, health center enrollments, liaison with payers, analysis, follow-up and implementation/communication of Medical, Dental, and Behavioral Health Contracts. In addition, this position will support the business development activities. They shall work with all sites and departments of the Institute. ESSENTIAL JOB DUTIES Clinical/Technical/Service · Demonstrates the ability to perform technical/service/administrative tasks as applicable to position · Initiate, review, and distribute a wide range of contractual documents and agreements · Maintain databases for all contracting and credentialing activities for audits to include but not limited to; contract tracking and changes, payer contacts, payer terms, NPI/MMIS/PTAN · Review and support the execution activities of contracts including addendums, comparison of fee schedules and perform payer analysis · Create monthly health plan report cards to assist in payer analysis of new and current contracts · Ensure timely communication of all new contracts and updated contracts through education/training, notifications, and practice management builds. · Credential all new sites with Medicare, Medicaid and managed care payers. Maintain recertification and all-encompassing functions across all sites · Reconciliations for payers which may include reconciling data for Institute programs/certifications such as PCMH · Project Management Activities shall include but not be limited to the following: Research ability to provide and be reimbursed for new service initiatives · Research new CPT codes and initiatives with managed care payers and CMS for reimbursement and analyze business impact · Develop and create strong relationships with Managed Care Payers · Work with Payer Analyst on Managed Care Payer Reimbursement to Contract · Handles Payer and Patient Complaints · Attends meetings and participates in committees/conferences as assigned and reports on major points and actions to resolve or to be taken Prepare various documents and handles confidential matters in accordance with Institute rules and procedures Helps to compile financial, statistical data, and reports as assigned. Maintains strictest confidentiality Participates in professional development activities to keep current with healthcare trends and practices. Participates in the development of other staff members Meets regulatory, licensure, and annual health assessment requirements Identifies learning strengths and needs Utilizes learning strengths and needs Utilizes learning resources D. Communication/Relationships Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families, and significant others Displays courtesy, tact, and patience during interactions with all members of the hospital staff and extended community Demonstrates a professional, courteous, and respectful attitude in dealing with clinical practice staff Shall perform other duties/projects as assigned EDUCATION: Associate degree in finance, business, healthcare, management or related field - or 5 years' experience -Required Bachelor's degree in finance, business, healthcare, management or related field - Preferred WORK EXPERIENCE: Insurance Contracting - Required Working in an Article 28 and/or Federally Qualified Health Center system. - Preferred COMPUTER PROFICIENCY: Proficiency with Computer functions/programs; billing/data software, Microsoft applications (Windows, Word, Excel, OutlookFirst 6 months onsite in New Paltz, NY Business office location, then potential for Hybrid.