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PFS Miamisburg Full-time First Shift

Responsibilities & Requirements

The Payor Relations Contract Compliance Specialist supports patient access and operational reliability by ensuring that payor contracts are accurately implemented, monitored, and maintained in compliance with regulatory and organizational standards. This role serves as a liaison between Kettering Health and external payors, analyzing contract terms, resolving compliance issues, and optimizing reimbursement processes. Performs other duties as assigned. All job responsibilities are to be carried out in alignment with Kettering Health's mission, vision, values, and B Safe program.

Required Education:

High school diploma or equivalent.

Required Work Experience:

Minimum of 3 years of experience in payor relations, managed care contracting, contract compliance, or a similar role within a healthcare setting.

Required Licenses, Certifications, and Registrations:

None required.

Skills:

Strong analytical and critical thinking skills
proficiency in interpreting and analyzing contract language and reimbursement data
effective verbal and written communication skills
ability to collaborate with internal and external stakeholders
working knowledge of healthcare regulations (e.g., HIPAA)
proficiency with Microsoft Office Suite and contract management systems
attention to detail
ability to prioritize and manage multiple projects.

Preferred Qualifications

Preferred Education:

Associate's degree in Healthcare Administration, Business, or related field, or equivalent combination of education and experience.

Preferred Work Experience:

5 or more years of experience in healthcare payor contracting, contract analysis, or revenue cycle management.

Preferred Licenses, Certifications, and Registrations:

Certification in healthcare compliance (e.g., CHC, AAHAM, or HFMA) preferred.

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New Referral

PAYOR RELATIONS CONTRACT COMPLIANCE SPECIALIST - PFS

PAYOR RELATIONS CONTRACT COMPLIANCE SPECIALIST - PFS

Responsibilities & Requirements