BlueSprig

Manager

• Maintain a centralized, organized repository of all payer contracts, amendments, and related documents for BlueSprig and affiliated brands.
• Abstract and clearly summarize key contract terms (rates, escalators, effective/termination dates, notice requirements, prior authorization rules, service limits, etc.) into accessible internal tools and trackers.
• Own the fee schedule lifecycle: load, validate, and update contracted rates in coordination with billing, EMR, and practice management system.
• Ensure timely implementation of new and updated fee schedules following contract execution, renewals, or amendments to avoid underpayments and billing delays.
• Partner with Revenue Cycle to investigate and resolve reimbursement variances related to rate misloads, incorrect fee schedules, or misaligned benefit setups.
• Maintain a payer matrix that clearly outlines coverage rules for ABA services by state and payer.
• Work with Operations and Clinical leadership to translate contract terms into operational guidance for center leaders, schedulers, and clinical staff.
• Track and monitor reimbursement performance by payer relative to contracted rates.
• Prepare rate comparisons and impact analyses to inform contract renewal strategies, payer negotiations, and pricing decisions.

Contract Manager