Payer Contracting Manager

This is a fully remote position, open to applicants in Utah.

📋 Description

• Oversee all elements of designated payer contracts and manage payer relationships.

• Assist in the negotiation and management of contract language.

• Conduct research and negotiate payment rates and methodologies.

• Address contract disputes and handle escalated contract issues.

• Maintain deep knowledge of contract and amendment language, rates, methodologies, and associated providers/facilities.

• Ensure compliance with standards in contract practices, documentation, payment rates, methodologies, storage, and issues.

• Act as a representative for Payer Contracting and Intermountain Health in significant relationships.

• Lead Joint Operating Committees.

• Build and sustain long-term relationships with aligned payers.

• Collaborate with Finance and Revenue Cycle leadership on risk-based contracting and proactive care strategies.

• Work with Legal and Compliance to ensure contract accuracy, regulatory adherence, and consistency in language.

• Provide leadership and mentorship to Payer Contracting Managers.

⛳️ Requirements

• Proven experience in leading and supporting intricate negotiations.

• Background in a professional setting requiring effective communication of advanced topics both verbally and in writing.

• Capability to distill extensive data into clear, concise summaries without losing essential details.

• Experience in leading teams, including cross-functional teams.

• Demonstrated ability in mentoring teams and caregivers.

• Preferred: established experience in payer contracting, encompassing full-cycle negotiation and contract redlining.

• Willingness to travel frequently for contract negotiations with payers.

• Regular computer usage and manual dexterity for typing and accessing information.

• May be necessary to operate a vehicle.

🏝️ Benefits

• Sign-on and relocation bonuses may be available as applicable.

• Eligible to participate in the Annual Pay for Performance (AP4P) Plan.

• Additional performance-based compensation calculated as a percentage of base salary.

• Comprehensive benefits package that includes programs promoting wellness, health, security, connection, and engagement.

• The PEAK program offers upfront tuition coverage paid directly to the educational institution.

• Over 100 PEAK learning options, including undergraduate studies, high school diplomas, and professional skills and certificates.

• Caregivers can participate in PEAK from their first day of employment.

• Remote work expectations include the use of company equipment and support for information security.