Manager, Payer Contracts

Our client a respected healthcare organization is seeking an experienced Manager Payer Contracts to lead payer strategy contract negotiations and revenue integrity functions. This role is ideal for a seasoned managed care professional who excels at building payer relationships driving financial performance and leading operational improvements.

The Manager Payer Contracts oversees the full lifecycle of payer agreements including negotiation execution compliance and performance monitoring. This leader partners closely with Finance Revenue Cycle and operational teams to ensure accurate reimbursement strong payer partnerships and optimized contract outcomes.

• Serve as the primary liaison for payer contracting negotiations and issue resolution.

• Develop negotiation strategies contract language recommendations and financial terms aligned with organizational goals.

• Conduct financial modeling reimbursement analysis and what if scenario modeling to support contract decisions.

• Maintain and manage all payer agreements amendments renewal timelines and contract files.

• Oversee implementation of contract terms within internal systems and validate accuracy.

• Ensure compliance with payer requirements including annual updates and price transparency obligations.

• Maintain payer scorecards and performance dashboards to support renegotiation and financial planning.

• Lead denial management operations ensuring denials are tracked trended appealed and resolved effectively.

• Collaborate with revenue producing departments to ensure accurate daily charging and timely correction of discrepancies.

• Supervise and develop the Contract Analyst and other assigned staff.

• Communicate payer policies updates and contract changes to internal stakeholders.

• Bachelors degree required (business finance economics or healthcare preferred).

• Minimum 7 years of recent experience in hospital medical or healthcare insurance environments with direct payer contracting responsibilities.

• Demonstrated expertise in payer contract negotiation administration and financial analysis.

• Advanced Excel skills including modeling and complex formulas.

• Experience with hospital billing systems and financial reporting tools.

• Strong communication analytical and problem solving skills.

• Ability to lead teams manage competing priorities and drive measurable outcomes.

• Masters degree in healthcare economics healthcare policy or finance.

• 10 years of progressive hospital payer contracting experience.

• Prior experience supervising payer contracting or revenue integrity staff.

• High impact role influencing payer strategy and financial performance.

• Direct visibility with senior leadership.

• Opportunity to shape payer relationships and drive operational improvements.

• Stable mission driven healthcare environment.