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Work Shift:

Day Shift

Time Type:

Full time

Department:

CC503000 CIN Administration

Summary:

Monday - Friday, 8:00 a.m. - 5:00 p.m. — Hybrid

The Payer Contract Specialist is responsible for managing payer contracts to ensure alignment with the organization's strategic financial and operational goals. This role is focused on the analysis, implementation and maintenance of fee schedules, monitoring and adherence to payer policies, and resolution of reimbursement issues to optimize revenue and contract performance. The Payer Contract Specialist collaborates closely with and supports Revenue Cycle, Physicians, Compliance, Coding, and Finance departments to identify and address payer related challenges. The specialist supports contract negotiations and serves as a liaison between internal stakeholders and payers to operationalize contract terms and maintain effective payer relationships.

Additional Information:

Monday - Friday, 8:00 a.m. - 5:00 p.m. — Hybrid

The ideal candidate will have three (3) years of the following experience:

Payer Contract Experience

Familiarity with insurance contracts, reimbursement terms, and managed care agreements.

Data & Financial Analysis

Comfort reviewing rates, trends, and financial reports to support decision-making.

Attention to Detail

Ability to manage contract terms, deadlines, and compliance accurately.

Communication & Relationship-Building

Strong skills working with payers and internal teams to resolve issues.

Regulatory Awareness

Basic knowledge of healthcare billing, coding, and payer policies.

\#AC2025

Required Education:

High school diploma or GED or equivalent

Recommended Education:

Bachelor's degree in a related field of study.

Required Work Experience:

Related Field - 3 years managed care, payer relations, payer contract, or physician or hospital billing

Recommended Work Experience:

Required Certifications:

Recommended Certifications:

Description

1. **Financial and Performance Oversight:**

Analyze and monitor existing and proposed payer reimbursement schedules to support contracting strategies. Manage and maintain professional reimbursement schedules and ensure timely communication of updates to stakeholders. Provide analytical support, including data collection, trend analysis, and preparation of financial reports to inform decision making

2. **Contract Management:**

Maintain the accuracy and integrity of the contract management system, ensuring timely and complete contract data entry. Oversee contract notices, renewals, amendments, and change management processes. Assist in the development and maintenance of reports to track and monitor contract compliance and performance metrics. Stay informed on political, legal, and regulatory trends/developments impacting managed care and payer contracting.

3. **Relationship Management**

Track and communicate payer policy updates and changes impacting billing, coding, reimbursement, and administrative functions. Build and maintain strong working relationships with payers and internal stakeholders. Serve as a liaison to facilitate the resolution of payer related operational issues. Act as a subject matter expert to internal stakeholders regarding contract language and professional reimbursement methodologies

4. Other Duties as assigned.

Arkansas Children’s (https://www.archildrens.org/about-us) is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.

Arkansas Children’s is driven by four core values—safety, teamwork, compassion and excellence—which inform every action.

Arkansas Children’s Hospital has received Magnet Status (https://www.archildrens.org/about-us/magnet-recognition) from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report (https://www.archildrens.org/about-us/awards-and-recognition) for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.

For more than a century, Arkansas Children’s has met the unique needs of children. But we’re more than just a hospital treating sick kids—our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.

Arkansas Children’s Little Rock campus includes a 336-bed hospital with the state’s only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children’s Northwest (https://www.archildrens.org/locations/arkansas-childrens-nw) provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.

_“Arkansas Children’s is a place of hope and comfort for children and parents. When you are at children’s, you are part of an elite team united with a common goal of saving children and making their lives better.”_ Michael – Business Operations Manager

•Arkansas Children’s Hospital is a prestigious institution that cares for children.” Linda – Information Systems Analyst

•We are an organization of care, love, and hope while we champion children.” Angela – Parking and Fleet Coordinator

•Care, love, and hope for children!” Kathy – Administrative Assistant

•When I think of my time here at Arkansas Children’s Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!” Nick – Supply Assistant

Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.