Enjoy what you do while contributing to a company that makes a difference in people’s lives. US Fertility, is a network of premier fertility centers, including Shady Grove Fertility, one of the largest fertility centers in the United States. At US Fertility, we continually seek experienced, compassionate, and dynamic team players. The work we do building families offers stimulation, challenge, and personal reward.

If you are looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you.

We currently have an opening for a full-time Contracting Specialist to work for our fast-paced company in a fully remote capacity Monday-Friday from 8:00am-5:00pm.

The Contracting Specialist supports the business by recommending appropriate actions, strategies, and/or alternatives to meet network operational and financial goals. Responsible for assisting in all aspects of a project and or program such as planning, coordination, development, and implementation for managed care operations. Identifies opportunities for efficiency and assists in department collaboration to increase revenue. Requires managing relationships across the segments or multiple functional areas in a highly collaborative environment.

How You'll Contribute:

We always do whatever it takes, even if it is not specifically our “job.” In general, the Contracting Specialist is responsible for:

Expansion knowledge of contracting for professional, infertility, ambulatory surgical centers, laboratory, and other multi-specialty provider types Identifies gaps and recommends enhancements related to new and/or existing agreements, services and workflows based on broad overview of the organization Negotiates new and existing Managed Care agreements which includes strategy, development, language review and redlining, pricing, and operational components with payers for both existing payors, expansion, and re-alignment of markets Serves as key liaison between company and payers regarding ongoing contract negotiations, payer operational and contract compliance issues, understanding of industry in general and specifically how each payor operates, benefits, clinical and reimbursement policies, general global coding, fee-for-service and global reimbursement, competitive landscape, claim data review and identifying payer trends Assists with operational components of managed care by working in cooperation with Executive Directors in our local offices, credentialing, revenue cycle management, and/or operations departments Strong ability to conduct problem resolution through knowledge of end-to-end processes within the organization to aid development of managed care operations Provides operational, data management, analytical support, the financial impact to the market and the organization in the aggregate to the Contracting Director and Managed Care team Assists all managed care ongoing and expansion projects, including monitoring and tracking of progress and status update communications Represents managed care operations to internal and external customers as appropriate; makes presentations to and interacts with various internal and external customers on issues pertinent to area of specialty Understands importance of US Fertility’s value proposition and assists in the development and augmentation of such Performs miscellaneous job-related duties as assigned

What You'll Bring:

Bachelor’s Degree with 3 to 5 years’ experience, Associate or Experience in lieu of degree 5-8 years’ experience 2-5 years’ experience in contract negotiations and contract modeling Expansive knowledge of Data Analytics and related programs, i.e., Excel. Experience with Next Gen, Power Bi is a plus General knowledge of Credentialing and Revenue Cycle, as it relates to Managed Care Ability to communicate accurately and concisely, and work as part of a multi-disciplinary team in a remote/virtual environment Excellent interpersonal skills Strong attention to detail and ability to meet tight deadlines Positive attitude, customer centric mind-set and willingness to go the extra mile to meet organizational goals Ability to multi-task and prioritize

More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.  

What We Offer:

Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching. Generous paid time off and holidays Retirement plan Tuition assistance Ability to make an impact in the communities we serve.

At US Fertility, we promote and develop individual strengths to help staff grow personally and professionally. This is an ideal time to join our team!