Healthcare Contracting Specialist

Business OperationsBusiness OperationsFull TimeRemoteMid LevelTeam 255Company Site

Location

United States

Posted

3 days ago

Salary

$34 - $48 / hour

Seniority

Mid Level

Healthcare contractingPayer relationsManaged careBehavioral health reimbursementContract negotiationContract complianceMicrosoft Excel

Job Description

Northeast Family Services is seeking an experienced Healthcare Contracting Specialist to support the agency’s growing network of behavioral health services. This role is responsible for helping manage and maintain payer and provider contracts that support our clinical programs across multiple states. 

The Healthcare Contracting Specialist will assist in negotiating reimbursement rates, maintaining payer relationships, ensuring contract compliance, and supporting credentialing and contracting activities. This position works closely with leadership, credentialing staff, and finance teams to ensure contracts support efficient service delivery and sustainable reimbursement. 

This is an excellent opportunity for someone with experience in behavioral health contracting, managed care, or healthcare administration who enjoys working both independently and collaboratively. 

This is a remote, part-time position, but you must reside in NH, RI, MA, or NY.  
 
Duties and Responsibilities: 

• Assist in drafting, reviewing, and negotiating contracts with insurance payers and partner organizations 

• Support the development and maintenance of reimbursement agreements for behavioral health services 

• Maintain organized contract records and ensure timely updates, renewals, and amendments 

• Collaborate with internal teams including credentialing, finance, and program leadership to ensure contract terms are properly implemented 

• Monitor contract compliance with state and federal regulations, payer requirements, and organizational policies 

• Assist in analyzing reimbursement rates, contract terms, and payer policies to support organizational strategy 

• Serve as a point of contact for contracting-related inquiries from internal teams and external partners 

• Support credentialing and payer enrollment processes as needed 

• Assist with preparation for payer audits and contract reviews 

• Track contracting timelines and maintain accurate documentation related to payer agreements 

• Complete other duties as assigned 
 

Qualifications: 
 

• High School Diploma required; Bachelor’s degree in Healthcare Administration, Business Administration, Health Information Management, or related field preferred 

• Minimum 3 years of experience in healthcare contracting, payer relations, or healthcare administration 
• Minimum 1 years of experience in behavioral health strongly preferred 

• Experience working with managed care organizations, commercial payers, and behavioral health reimbursement models required 

• Strong knowledge of healthcare contracting, payer policies, and regulatory requirements 

• Excellent negotiation, communication, and relationship management skills 

• Strong analytical and organizational abilities 

• Proficiency in Microsoft Office Suite, particularly Excel 

• Ability to work independently in a remote environment 

• Must reside in NH, MA, RI, or NY 

 

Hours / Compensation: 

Part Time, 20 hours per week.  
Hourly range: $34 - $48 / hour

Related Categories

Related Job Pages

More Business Operations Jobs

Business Operations3 days ago
Full TimeRemoteTeam 11-50

This role involves owning the day-to-day relationship with the issuing bank and payment processing partners, acting as the primary point of contact for all matters related to carded benefit programs. Key duties include managing operational functions like KYB/AML, funding account operations, reconciliation, and overseeing critical implementation steps for new card programs.

Anti-Money LaunderingKnow Your BusinessDue DiligencePayment ProcessingRegulatory Compliance
United States
$96.4K - $112K / year
Datavant logo

Business Systems Manager, Life Sciences

Datavant

Connecting the world’s health data to improve patient outcomes.

Business Operations3 days ago
Full TimeRemoteTeam 201-500Since 2017H1B Sponsor

Business Systems Manager owning systems for Life Sciences operations at Datavant

United States
$136K - $160K / year
Kentucky Personnel Cabinet logo

Grants Administrator

Kentucky Personnel Cabinet

The Cabinet for Health and Family Services (CHFS) is one of the largest agencies in Kentucky state government, with nearly 6,000 full- and part-time employees located across the Commonwealth focused on improving the lives and health of Kentuckians. The Division of Regulated Child Care (DRCC) is responsible for licensing and certification of child-care providers, as well as residential child caring facilities and child placing agencies. DRCC investigates complaints against these facilities, ensuring that proper regulatory action is in place. This Division plays an intricate part in the health, safety, and welfare of Kentucky's children.

Business Operations3 days ago
Full TimeRemoteTeam 1,001-5,000

The Grants Administrator will educate participants and stakeholders on SRF program requirements through training and outreach, while coordinating with KIA to assist borrowers with applications and compliance checks for various federal requirements. This role also involves serving as the Division of Water project manager to ensure construction projects progress efficiently and adhere to technical and planning standards.

Microsoft OfficeGeographic Information SystemsProject ManagementFederal Grant ComplianceConstruction OversightDavis-Bacon ActBuy America RequirementsAmerican Iron and Steel ProvisionsProcurementEnvironmental Regulation CommunicationWater Infrastructure FundingSRF Program
United States
$3.9K - $5.4K / month
Business Operations3 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

The coordinator will develop, coordinate, and implement strategic initiatives to support air and ground ambulance services, focusing on building and maintaining relationships with referring agencies and healthcare facilities. Responsibilities also include planning educational offerings, collaborating with internal quality improvement teams, and tracking outreach metrics to increase awareness and utilization of EMS programs.

Microsoft Officewritingeditingproofreadingcommunity engagementhealthcare outreachevent planningdata tracking
United States
$32 - $44 / hour