Contract Manager
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Job Description
Contract Manager responsible for fee schedules and payer contracts at BlueSprig. Ensures operational efficiency and reimbursement accuracy across ABA service centers.
Responsibilities:
- Maintain a centralized, organized repository of all payer contracts, amendments, and related documents for BlueSprig and affiliated brands.
- Abstract and clearly summarize key contract terms (rates, escalators, effective/termination dates, notice requirements, prior authorization rules, service limits, etc.) into accessible internal tools and trackers.
- Own the fee schedule lifecycle: load, validate, and update contracted rates in coordination with billing, EMR, and practice management system.
- Ensure timely implementation of new and updated fee schedules following contract execution, renewals, or amendments to avoid underpayments and billing delays.
- Partner with Revenue Cycle to investigate and resolve reimbursement variances related to rate misloads, incorrect fee schedules, or misaligned benefit setups.
- Maintain a payer matrix that clearly outlines coverage rules for ABA services by state and payer.
- Work with Operations and Clinical leadership to translate contract terms into operational guidance for center leaders, schedulers, and clinical staff.
- Track and monitor reimbursement performance by payer relative to contracted rates.
- Prepare rate comparisons and impact analyses to inform contract renewal strategies, payer negotiations, and pricing decisions.
Requirements:
- Bachelor’s degree in Business, Healthcare Administration, Finance, or related field required; equivalent experience considered.
- 3–5+ years of experience in managed care contracting, contract management, revenue cycle, or payer operations within healthcare; ABA or behavioral health strongly preferred.
- Demonstrated experience managing fee schedules, contract abstraction, and reimbursement analysis.
- Proficiency in Excel (pivot tables, lookups, rate comparisons) and comfort working with data from multiple systems.
- Strong organizational skills with the ability to manage multiple contracts, deadlines, and priorities in a fast-paced environment.
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
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