Aleracare
Contract Implementation Specialist / Analyst
Sandy, UT
Sponsorship not specifiedDetected 23 days ago
Data AnalysisExcelContract ManagementCadenceLeadershipCommunicationProblem SolvingOrganizational Skills
About the role
- The Contract Implementation Specialist & Analyst is responsible for the successful end-to-end implementation, maintenance, and optimization of payer contracts across the organization.
- This role ensures that all contract terms-financial, operational, and clinical-are accurately translated into actionable guidance and systems used by Billing/RCM, Intake, Operations, Clinical Operations, and other downstream teams.
- This position serves as the primary owner of contract implementation accuracy, the first line of triage for payer-related issues, and the central driver of contract change communication and fee schedule management.
Responsibilities
- Payer Issue Triage & Escalation Management · Serve as the first line of support for payer-related issues impacting operations, billing, or intake. · Triage issues, assess root cause, and manage escalations. · Engage the appropriate Account Manager, Contracting Lead, or Credentialing Specialist to support resolution as needed. · Track issues and outcomes to identify trends and improvement opportunities.
- Contract Change Management & Communication · Act as the primary driver of communication for all contract updates, amendments, and renegotiation outcomes. · Develop clear, timely, and accurate communications tailored to impacted departments. · Maintain and update all contract-related resources to ensure ongoing accuracy and reliability.
- Resource & Documentation Management · Maintain contract implementation documentation, playbooks, and reference tools. · Ensure all internal resources reflect the most current contract terms and payer requirements. · Support continuous improvement of implementation processes and tools.
Compensation
- Fee Schedule Management · Own all payer fee schedules, including setup, validation, updates, and version control. · Manage the cadence of fee schedule updates (quarterly, annual, or ad hoc) and ensure alignment with contract terms. · Maintain fee schedule source-of-truth resources and support downstream billing system updates.
Company info
- About Pure Infusion Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations.
- Born from the merger of Pure Infusion Suites and Aleracare, we are building a unified organization grounded in a strong culture of excellence, accountability, and genuine care for patients and employees alike.
- Headquartered in Salt Lake City, Utah, with operations spanning multiple states, we are in a pivotal stage of growth and integration-and we're looking for people who want to help shape what comes next.
- WE ARE · People-obsessed · Relentless Improving · Innovators · Grateful
- Position Summary The Contract Implementation Specialist & Analyst is responsible for the successful end-to-end implementation, maintenance, and optimization of payer contracts across the organization.
- The role blends strong analytical skills with cross-functional coordination and clear, structured communication.
- Contract Implementation & Operational Enablement · Lead the implementation of new payer contracts by translating contract terms into clear, actionable requirements for Billing/RCM, Intake, Operations, Clinical Ops, and other stakeholders. · Ensure all contract components (fee schedules, covered services, site-of-care requirements, billing guidelines, etc.) are fully understood and operationalized. · Coordinate with internal teams to confirm readiness prior to contract go-live.
- Fee Schedule Management · Own all payer fee schedules, including setup, validation, updates, and version control. · Manage the cadence of fee schedule updates (quarterly, annual, or ad hoc) and ensure alignment with contract terms. · Maintain fee schedule source-of-truth resources and support downstream billing system updates.
- Data Analysis & Impact Reporting · Support contract renegotiations by analyzing fee schedule changes, reimbursement impacts, and operational implications. · Produce reports that summarize financial and operational impact of contract changes. · Partner with leadership to support decision-making through data-driven insights.
- Qualifications · Bachelor's degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience). · 3-5 years of experience in payer contracting, contract implementation, revenue cycle, or healthcare operations. · Strong understanding of payer contracts, fee schedules, reimbursement structures, and operational workflows. · Experience working cross-functionally with Billing/RCM, Intake, Operations, and Clinical teams. · Advanced Excel and data analysis skills; experience with contract management systems preferred.
- Key Competencies · Exceptional attention to detail and accuracy. · Strong analytical and problem-solving skills. · Clear, structured communicator with the ability to translate complex contract terms into operational guidance. · Highly organized with strong ownership mindset. · Ability to manage multiple priorities and escalations in a fast-paced environment. · Proactive, solution-oriented approach to payer and contract challenges.
- Success in This Role Looks Like · Contracts are implemented on time, accurately, and with minimal downstream issues. · Fee schedules are reliable, current, and trusted across the organization. · Departments receive clear, timely communication and know exactly how to operationalize payer requirements. · Payer issues are triaged efficiently, escalations are well-managed, and root causes are addressed. · Leadership has clear visibility into the impact of contract changes.
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