Provider Relations and Contract Performance Specialist

Job Details

Job Ref:R0089092 Category:Administration Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: 40 IDX Dr, South Burlington, VT 05403 Department:UVMHN - High Value Care Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 40 Weekend Needs:None Pay Rate: $32.70 - $49.05 per hour

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.