PHYS CONTRACTING SPECIALIST

The Physician Contracting Specialist supports and enhances the physician contracting function through advanced coordination, documentation, and lifecycle management of physician agreements. This role partners closely with the Director of Physician Contracting, Legal Counsel, Finance, and operational leadership to ensure physician contracts are strategically structured, compliant with regulatory requirements (including Stark and Anti-Kickback regulations), and aligned with organizational compensation frameworks.
The position is responsible for drafting and independently redlining physician agreements and amendments using approved templates; analyzing contract terms for consistency, risk exposure, and operational feasibility; and ensuring appropriate routing for review and execution. The Specialist maintains ownership of the contract lifecycle management system, including workflow configuration, reporting, tracking dashboards, and data integrity.
This role monitors contract milestones, compensation terms, renewal timelines, and key performance metrics, providing leadership with reporting and analysis to support decision-making. The Physician Contracting Specialist plays a critical role in maintaining contract integrity, regulatory compliance, audit readiness, and operational efficiency across the physician contracting portfolio, while continuously identifying process improvements and system enhancements.
 

Essential Duties & Functions

•    Manage the physician contract lifecycle from intake through execution and ongoing maintenance, ensuring accuracy, compliance, timely processing, and adherence to organizational standards.
•    Draft, prepare, and independently review physician employment agreements, amendments, and related documents using approved templates and established compensation and policy guidelines.
•    Maintain and administer the contract management system, ensuring data integrity, version control, workflow accuracy, reporting functionality, and proper documentation standards.
•    Monitor and track key contract milestones including approvals, signatures, effective dates, expirations, renewals, compensation changes, and amendments; proactively follow up to mitigate risk and prevent lapses.
•    Serve as a primary resource for physician contracting processes, providing guidance to operational leaders and internal stakeholders regarding contract status, documentation requirements, and workflow procedures.
•    Prepare contract summaries, decision support documents, compliance materials, audit documentation, and internal/executive reporting related to physician agreements and compensation arrangements.
•    Coordinate cross-functional review and approval processes with Legal, Compliance, Finance, and operational leadership to ensure contracts are properly vetted and executed.
•    Support regulatory compliance efforts by ensuring contracts align with organizational policies and applicable healthcare regulations; assist with internal and external audits as needed.
•    Analyze existing processes and recommend workflow improvements to enhance efficiency, reduce cycle times, and strengthen internal controls within the physician contracting function.
•    Exercise independent judgment in prioritizing workload, managing deadlines, and escalating issues that present operational, financial, or compliance risk.
•    Maintain strict confidentiality of sensitive compensation, employment, and organizational information.
•    Perform additional duties and special projects as assigned in support of the physician contracting function.

Other Duties & Functions:
•    Other duties as assigned