Contract Administration Supervisor
We are the people who give possibilities purpose
BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all of us-from design and engineering to the manufacturing and marketing of our billions of MedTech products per year-to look at the impossible and find transformative solutions that turn dreams into possibilities.
Job Description
The primary focus of the Contract Administration Supervisor is to manage the application, credentialing and health plan filing processes, while providing guidance, support and information for payor escalations, interaction with payors and questions related to contractual terms and conditions. The Contract Administration Supervisor is responsible for ensuring that team and individual goals are reached, as well as, ensure timely responses, quality assurance, and adherence to departmental and company policies and procedures, as well as federal and state guidelines including Medicare and Non-Medicare payor requirements.
PRIMARY DUTIES AND RESPONSIBILITIES
Manage the application, credentialing and health plan filing processes, ensuring that all information is submitted timely and accurately.
Provide guidance, support and information for payor escalations, interaction with payors and questions related to contractual terms and conditions.
Maintain current records of applicable company and employee information for disclosure, taking all necessary measures to appropriately safeguard confidential and sensitive information.
Review payer contracts and prepare contract worksheets and reimbursement analysis documents for legal and executive review.
Support in the creation and ongoing maintenance of a database of contractual requirements relative to provider obligations and requirements
Maintain internal reference guides, directories and databases of payer participation, billing and compliance requirements and fee schedules.
Review and distribute payer manuals, newsletters, bulletins and memos to applicable departments, communicating pertinent requirements and/or updates.
Provide direct oversight of vendor relationships supporting credentialing and licensure to ensure accurate information, as well as no lapse in coverage
Maintain website access for users company-wide.
Manage deadlines and priorities effectively with scheduled and ad hoc goals and assignments.
Manage professional meetings and communications.
Maintain all soft and hard copy contract and filing records.
Responsible for tracking daily productivity.
ANCILLARY DUTIES AND RESPONSIBLITIES
Provide daily/weekly updates on application, credentialing, licensure, and contract status to RCM Leadership, as well as applicable stakeholders
Complete work assignment of Payor Relations/Contract Management to designated team members
Monitor Contract Management processes to ensure adherence to departmental and company policies and procedures, as well as federal and state guidelines including Medicare and Non-Medicare payor requirements
Work collaboratively with the Finance and Legal/Compliance to ensure timely review of contracts and fees schedules
Support the Contract Management team as subject matter expert, providing guidance where applicable; Researching and resolving issues identified in relation to health plan participation as well as, communicating and/or escalating issues and areas of opportunity to leaders in other departments to ensure resolution.
Assist and support RCM Leadership in the development, documentation, implementation, and management of policy/procedures and revisions that are responsive to changes in internal protocol.
All other projects and tasks as assigned
REPORTING RELATIONSHIP RESPONSIBILITIES
Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.
MINIMUM REQUIREMENTS
Education:
- High School Diploma or GED required
Experience:
- Minimum 2 years of experience in healthcare credentialing, provider enrollment, payer contracting, or revenue cycle management
- Minimum 1 year of supervisory or team lead experience, including responsibility for work direction, performance management, and employee development
- Demonstrated experience managing credentialing and provider enrollment processes
- Experience with health plan filing and state licensing requirements
Technical Knowledge:
- Working knowledge of CAQH and PECOS enrollment systems
- Basic understanding of Medicare and commercial payer participation requirements
- Intermediate proficiency with Microsoft Office Suite (Word, Excel, PowerPoint)
- Experience with database software (Access or similar)
- Ability to navigate payer portals and online credentialing systems
Core Skills:
- Ability to read, analyze, and interpret contract language and technical procedures
- Strong mathematical skills including ability to calculate contract rates, fee schedules, discounts, and percentages
- Analytical reasoning and problem-solving abilities
- Clear oral and written communication skills
- Ability to manage multiple deadlines and priorities effectively
- Demonstrated organizational skills and attention to detail
PREFERRED QUALIFICATIONS
Education:
- Associate's degree or Higher in Business Administration, Healthcare Administration, or related field
- Professional certification such as CPCS (Certified Provider Credentialing Specialist), CPMSM (Certified Professional in Medical Services Management), or similar credentialing certification
Experience:
- 3+ years of progressive experience in healthcare credentialing, provider enrollment, or payer contracting
- 2+ years of supervisory experience with direct responsibility for hiring, promotions, performance management, and disciplinary actions
- Experience working with multiple payer types including Medicare, Medicaid, Commercial Insurance, and Managed Care Organizations
- Previous experience reviewing payer contracts and conducting reimbursement analysis
- Experience managing vendor relationships for credentialing and licensure services
- Background working in a multi-state healthcare organization or with multi-state provider credentialing
Technical Knowledge:
- Advanced knowledge of Medicare and Non-Medicare payor requirements and compliance guidelines
- Expertise in contract language review and reimbursement methodologies (fee-for-service, capitation, value-based arrangements)
- Experience with call center telecommunications software (Softphones or similar)
- Familiarity with revenue cycle management systems and credentialing software platforms
- Knowledge of state-specific licensing requirements across multiple jurisdictions
- Understanding of federal and state healthcare compliance regulations (HIPAA, Stark Law, Anti-Kickback Statute)
Advanced Skills:
- Proven ability to conduct payer escalations and resolve complex contractual issues
- Experience developing and implementing departmental policies and procedures
- Strong stakeholder management skills with demonstrated ability to collaborate across Legal, Compliance, Finance, and Operations departments
- Advanced analytical skills including ability to forecast workflow processes and identify process improvement opportunities
- Experience with employee coaching, productivity tracking, and team development
- Demonstrated group presentation skills and ability to conduct effective meetings
- Track record of maintaining quality assurance standards while meeting productivity goals
- Experience creating and maintaining contract databases and internal reference materials
Leadership Competencies:
- Proven ability to serve as a subject matter expert and provide guidance to team members
- Experience managing team performance metrics and daily productivity tracking
- Strong decision-making skills with ability to escalate issues appropriately
- Demonstrated success in building and maintaining high-performing teams
PHYSICAL DEMANDS (The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.) While performing the duties of this job, the employee is frequently required to talk or hear, walk, sit; use hands to finger, handle, or feel. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 lbs.
WORK ENVIRONMENT (The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ) While performing the duties of this position, the employee performs tasks in a temperature-controlled office environment under normal office conditions. The noise level in the work environment is usually moderate. The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.
DISCLAIMER
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position. The Company officers, mid-level, and entry level management staff may assign additional duties and responsibilities as needed. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.
At BD, we prioritize on-site collaboration because we believe it fosters creativity, innovation, and effective problem-solving, which are essential in the fast-paced healthcare industry. For most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. Remote or field-based positions will have different workplace arrangements which will be indicated in the job posting.
For certain roles at BD, employment is contingent upon the Company’s receipt of sufficient proof that you are fully vaccinated against COVID-19. In some locations, testing for COVID-19 may be available and/or required. Consistent with BD’s Workplace Accommodations Policy, requests for accommodation will be considered pursuant to applicable law.
Why Join Us?
To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We welcome people with the imagination and drive to help us reinvent the future of healthcare. At BD, you’ll discover a culture in which you can learn, grow and thrive.
We believe that when people connect in person, we learn faster, collaborate more deeply, and build a stronger culture. Join us and enjoy a culture where face-to-face collaboration supports your learning, your progress, and your success.
To learn more about BD visit https://bd.com/careers.
Becton, Dickinson, and Company is an Equal Opportunity Employer. We evaluate applicants without regard to race, color, religion, age, sex, creed, national origin, ancestry, citizenship status, marital or domestic or civil union status, familial status, affectional or sexual orientation, gender identity or expression, genetics, disability, military eligibility or veteran status, and other legally protected characteristics.
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