Senior Manager, Payer Relations and Contracting (West)
$137,400–$229,100 year
RemoteUnited States
Job Summary
Lead development and execution of contracting strategies aligned with organizational objectives across national and regional payers, LBMs, IDNs, IPAs, and state Medicaid plans to maximize contract value and reimbursement. Negotiate optimal reimbursement rates and terms while cultivating strategic relationships with payer executives and medical directors to strengthen collaboration. Partner with the broader Market Access team and collaborate cross-functionally with Clinical, Medical Affairs, and Legal teams to develop evidence-based value propositions. Maintain detailed records of payer interactions and engagement outcomes to monitor progress and inform future strategies. This fully remote role supports payers in the West Region, with candidates based in Pacific, Mountain, or Central time zones preferred.
Required Qualifications
- 8+ years of healthcare experience working for a diagnostic / biotech company, healthcare consulting firm, or health insurance company
- 5+ years of experience working with Medicare, Medicaid and commercial payers on contracting and network management
- Strong technical knowledge of payer contracting (negotiations, language review, contract format and structure)
- Demonstrated success in achieving annual targets
- Direct experience with or demonstrated understanding of the health care revenue cycle
- Proficiency in handling intricate details related to both quantitative reimbursement and legal language ensuring they meet overall business objectives
- Proven track-record of successful negotiations with payers
- Strong decision-making skills and ability to take initiative and act independently
- Excellent organizational, communication and negotiation skills
- Bachelor's Degree required
Desired Qualifications
- ideally with a background in the diagnostic industry
- Proficiency with financial analyses preferred
- candidates based in the Pacific, Mountain, or Central time zones are preferred
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