OverviewThe
Contract Manager is responsible for managing the negotiation, implementation, and ongoing maintenance of commercial and government
payor agreements. This role supports organizational financial goals by ensuring favorable reimbursement terms, compliance with regulatory requirements, and alignment with strategic business objectives. The Contract Manager will serve as a key liaison between payors, leadership, revenue cycle, legal, and clinical operations to ensure contracts are optimized and accurately administered.
Remote position with occasional travel to payor meetings or organizational sites as needed.
Responsibilities- Contract Negotiation & Management
- Lead the negotiation, analysis, and renewal of payor agreements across commercial, government, and specialty networks.
- Evaluate contract terms, reimbursement methodologies, and fee schedules to ensure alignment with financial and operational goals.
- Maintain strong, collaborative relationships with payor representatives and internal stakeholders to facilitate ongoing communication and issue resolution.
- Implementation & Maintenance
- Coordinate with Credentialing, Billing, Revenue Cycle, and IT teams to ensure timely implementation and accurate setup of new and amended contracts.
- Maintain a centralized repository of contracts, fee schedules, amendments, and effective dates using contract management software.
- Monitor contract compliance, performance, and renewal timelines to avoid lapses and ensure data integrity.
- Identify and resolve contract discrepancies or payor operational issues impacting reimbursement.
- Analytics & Reporting
- Perform financial modeling and impact analysis of proposed reimbursement terms.
- Develop and deliver regular updates to leadership on contract performance, trends, and financial outcomes.
- Identify opportunities for optimization, including rate improvements, participation in value-based care programs, or alternative payment models.
- Stakeholder Collaboration
- Serve as the primary point of contact for payor contract-related matters.
- Collaborate with internal teams-including Operations, Revenue Cycle, and Clinical Leadership-to ensure alignment between operational execution and contract terms.
- Provide education and guidance to internal departments regarding key contract provisions, rate structures, and billing requirements.
QualificationsEducation & Experience:- Bachelor's degree in business, Healthcare Administration, Finance, or related field required.
- Minimum 3-5 years of experience in payor contracting, healthcare reimbursement, or managed care required.
- Demonstrated success negotiating and managing payor agreements strongly preferred.
- Knowledge of value-based care, risk arrangements, and government programs (Medicare, Medicaid) is desirable.
Skills & Competencies:- Proven negotiation and relationship management skills.
- Strong analytical and financial modeling abilities with attention to detail.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Excel and contract management tools.
- Detail-oriented with strong problem-solving skills.
What's in it for you?
We offer competitive compensation, a comprehensive benefits package including medical, dental, vision, PTO, and generous 401K plan...not to mention a team of smart and friendly coworkers!
