Provider Relations and Contract Performance Specialist

Central Vermont Medical Center

  • South Burlington, Vermont
  • 10 days ago

    Highlights

    Serves as the primary liaison between providers, clinical leaders, operational teams, and the contracting department. Building Name: UVMMC - 40 IDX Drive Location Address: 40 IDX Drive, South Burlington Vermont.

    Numbers & Facts

    LocationSouth Burlington, Vermont

    Description

    Building Name: UVMMC - 40 IDX Drive

    Location Address: 40 IDX Drive, South Burlington Vermont

    Regular

    Department: UVMHN – High Value Care

    Full Time

    Standard Hours: 40

    Biweekly Scheduled Hours:

    Shift: Day

    Primary Shift: -

    Weekend Needs: None

    Salary Range: Min $33.35 Mid $41.69 Max $50.03

    Recruiter: Chelsea Therrien

    Serves as the primary liaison between providers, clinical leaders, operational teams, and the contracting department. Ensures provider understanding of payer contracts, payment methodologies, operational requirements, and value-based performance expectations.

    Reports To: Payer Contracting, Policy & Regulatory Counsel

    Key Responsibilities

    Provider Engagement

    · Build relationships with providers.

    · Educate providers regarding contractual requirements and reimbursement methodologies.

    Contract Performance Support

    · Assist providers with contract-related issues.

    · Coordinate escalation of payer operational concerns.

    Operational Collaboration

    · Partner with revenue cycle and finance.

    · Support implementation of contract changes affecting providers.

    · Facilitate provider feedback into contracting strategy.

    Education & Communication

    · Develop provider-facing educational materials.

    · Lead presentations regarding contracting policy, disputes/resolutions.

    · Ensure awareness of payer policy changes.

    Qualifications

    · Bachelor's degree required.

    · 5+ years healthcare operations, contracting, provider relations, or managed care experience.

    · Strong facilitation and relationship management skills.

    · Excellent communication and presentation abilities.

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