Contracting Specialist (Remote)

Enjoy what you do while contributing to a company that makes a difference in people’s lives. US Fertility, is a network of premier fertility centers, including Shady Grove Fertility, one of the largest fertility centers in the United States. At US Fertility, we continually seek experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward.

If you're looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you.

We currently have an opening for a full-time Contracting Specialist to work for our fast-paced, high-volume Rockville, MD office. This is a remote opportunity. The schedule is working Monday-Friday from 8:00am-5:00pm.

The Contracting Specialist supports the business by recommending appropriate actions, strategies and/or alternatives to meet network expansion and operational goals. Responsible for assisting in all aspects of a project and or program such as planning, coordination, development, and implementation for managed care operations. Identifies opportunities for efficiency and assists in department collaboration to increase revenue. A highly collaborative process often requires managing relationships across the segments or multiple functional areas.

How You'll Contribute:

We always do whatever it takes, even if it isn’t specifically our “job.” In general, the Contracting Specialist is responsible for:

• Expansion knowledge of contracting for the following provider types: professional, infertility, ambulatory surgical centers, laboratory, and other multi-specialty provider types.
• Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on broad overview of the organization.
• Negotiates Managed Care agreements including language, pricing, and operational components with payers for both expansion and re-alignment.
• Serves as key liaison between company and payers regarding ongoing contract compliance, payer operational and contract compliance issues and contract negotiations.
• Assists with operational components of managed care by working in cooperation with credentialing, revenue cycle management, and/or operations departments.
• Strong ability to conduct problem resolution through knowledge of end-to-end processes within the organization to aid development of managed care operations.
• Provides operational, data management and analytical support to Contracting Operations Manager.
• Assists all managed care ongoing and expansion projects, including monitoring and tracking of progress and status update communications.
• Represents managed care operations to internal and external customers as appropriate; makes presentations to and interacts with various internal and external customers on issues pertinent to area of specialty.
• Performs miscellaneous job-related duties as assigned.
  
  
  

What You'll Bring:

• Bachelor’s Degree
• 2-5 years’ experience in contract negotiations
• 3-5 years’ experience in contract modeling
• Strong, expansive knowledge of Data Analytics and Power BI
• Knowledge of Credentialing and Revenue Cycle
• Ability to communicate accurately and concisely, and work as part of a multi-disciplinary team
• Excellent interpersonal skills
• Strong attention to detail and ability to meet tight deadlines
• Positive attitude, customer centric mind-set and willingness to go the extra mile to meet organizational goals
• Ability to multi-task and prioritize
  
  
  

More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.

What We Offer:

• Competitive pay + bonus
• Comprehensive training
• Medical, dental, vision, and 401(k) matching
• Generous paid time off and holidays
• Retirement plan
• Tuition assistance
• Ability to make an impact in the communities we serve
  
  
  

At US Fertility, we promote and develop individual strengths to help staff grow personally and professionally. This is an ideal time to join our team!