Manager, Payer Contracts

About the role

The Payer Contracts Manager oversees and manages payer contracting and the organization's Revenue Integrity function. Key responsibilities include leading contract negotiations, analyzing and evaluating payer proposals, ensuring timely renewal and execution of agreements, and aligning with organizational contracting standards.

Responsibilities

• Lead contract negotiations in consultation with the Senior Vice President/Chief Financial Officer
• Analyze and evaluate payer proposals
• Ensure timely renewal and execution of agreements
• Proactively identify opportunities to enhance contract performance and strengthen payer partnerships

Requirements

• Demonstrated knowledge and experience of negotiating and managing payer contracts
• Demonstrated knowledge and experience in using Excel (advanced usage of formulas and modeling techniques)
• Knowledge of hospital billing systems and other financial software systems, including report writing
• Ability to communicate both verbally and in writing
• Ability to analyze problematic situations and implement solutions
• Customer service skills
• Experience and knowledge of principles and practices used in the development of payer contracts, contract administration, and negotiation strategies

Qualifications

• Bachelor's degree required; preferably in economics, business, finance, or healthcare
• Preferred Master’s degree in healthcare economics, healthcare policy, or finance
• Minimum seven (7) years recent employment in a hospital, medical or healthcare insurance field with experience in the negotiation and management of payer contracts and analytics
• PREFERRED: Ten (10) years progressive hospital payer contracting experience, Direct payer negation strategy development, Payer relationship management, Management and supervision of Payer Contract Analyst position

Skills

• Excel (advanced usage of formulas and modeling techniques)
• Hospital billing systems
• Financial software systems
• Communication skills (verbal and written)
• Solution implementation skills
• Problem analysis skills
• Customer service skills
• Contract development and negotiation strategies

Benefits

Henry Mayo Newhall Hospital offers a comprehensive benefits package designed to support your well-being and career growth. This includes:

• Health insurance
• Retirement plans
• Vacation and sick leave
• Professional development opportunities
• Employee assistance program

Pay

$107,952.00 to $172,723.20 annually

Schedule

Full-time position