Provider Relations and Contract Performance Specialist

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 $32.70 Mid $40.88 Max $49.05

Recruiter: Cathleen Sullivan

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.