Contract Management Associate

Position Overview

• Location Type: Remote
• Employment Type: Full-time
• Salary: Not specified

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.

Requirements

• Strong understanding of payor contract and fee schedule management.
• Experience managing and developing payor relationships.
• Proven ability to enhance and streamline operational workflows.
• Excellent communication and interpersonal skills.
• Ability to interpret complex contractual language.

Responsibilities

Contract Management and Implementation:

• Own the implementation of newly executed payor contract data, ensuring all relevant contract details are captured and maintained accurately within internal systems.
• Drive implementation of best practices for contract review, organization, and documentation of newly executed contracts to ensure payor compliance.
• Provide guidance to other team members on interpreting complex contractual language and any reimbursement structure ambiguity to ensure that Grow is able to maximize collections for newly launched payors.
• Proactively lead audits of existing payors for missing information and to validate accuracy for internal and cross-functional use.
• Maintain accurate LinkSquares Governing Summaries by proactively seeking and loading new payor files (contracts, provider manuals, payor newsletters, reimbursement policies, etc.).
• Resolve complex rate discrepancies, collect missing fee schedules, and address incorrect payor data elements in a promptly manner.

Payor Communication and Coordination:

• Serve as a primary liaison for payor contract escalations, ensuring issues related to payor networks or reimbursement discrepancies are addressed efficiently.
• Work closely with internal teams to proactively flag potential payor compliance issues and mitigate risks.
• Maintain and optimize our payor contact list, ensuring accessibility and accuracy across teams.

Rate Management & Optimization:

• Lead efforts to document, analyze, and optimize rate management processes for improved performance.

Application Instructions

• Not specified in the provided text.