The
Contract Manager will be responsible for negotiating, implementing, and managing payer agreements to support the organization's clinical operations and financial objectives. This individual will work closely with executive leadership, revenue cycle, operations, and legal partners to ensure payer contracts align with service offerings, regulatory requirements, and reimbursement targets.
The ideal candidate brings deep experience in healthcare contracting, strong negotiation skills, and a working understanding of home health, pediatric services, or post-acute care reimbursement models.
Key ResponsibilitiesPayer Contracting & Negotiation- Lead negotiations with commercial payers, Medicaid managed care organizations, and other payer entities at both regional and national levels
- Secure new payer contracts and lead contract renewals, amendments, and rate negotiations
- Analyze reimbursement models, fee schedules, and contract terms to ensure financial sustainability and alignment with organizational goals
- Support contracting for new market expansion, service lines, and payer participation initiatives
Contract Management & Administration- Review, interpret, and manage payer agreements, including rates, terms, performance requirements, and termination clauses
- Maintain organized contract documentation and ensure accurate implementation of contracted terms across operational teams
- Partner with internal stakeholders to ensure payer contracts are operationally executable and compliant
Cross-Functional Collaboration- Collaborate with revenue cycle, billing, authorization, and finance teams to address payer requirements, contract interpretation, and reimbursement issues
- Serve as a subject matter expert for payer contract language, reimbursement methodologies, and escalation support
- Work with legal, compliance, and leadership teams on contract approvals and risk mitigation
Market & Performance Analysis- Monitor payer performance, reimbursement trends, and market benchmarks
- Identify opportunities to improve payer mix, rates, and contract structures
- Support leadership with contract summaries, financial impact analyses, and executive reporting
QualificationsRequired- Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field
- 5+ years of experience in healthcare payer contracting, provider contracting, or managed care negotiations
- Proven experience negotiating commercial and/or Medicaid managed care contracts
- Strong understanding of healthcare reimbursement methodologies
- Excellent negotiation, communication, and interpersonal skills
- Ability to work independently in a fast-paced, growth-oriented environment
Preferred- Experience in home health, pediatric homecare, therapy homecare services.
- Multi-state or national payer contracting experience
- Familiarity with value-based arrangements and alternative payment models
- Experience partnering with revenue cycle or finance teams on reimbursement optimization
Salary Range:- Full-Time, Remote: $80,000.00 to $100,000.00 annually.
*Compensation dependent on experience.
Benefits:- Paid time off
- Medical, dental, and vision
- 401K
