Payer Contracting Manager

Position: Payer Contracting Manager

Category: CO - Contracting and Provider Relations

Work Option(s): Remote EST/CST/MST

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Description:

Qualifications

Required

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
  • 5+ years of experience in healthcare payer contracting or managed care
  • Demonstrated experience negotiating group and ASC contracts, cardiology-related payer contracts preferred
  • Strong understanding of reimbursement methodologies, fee schedules, and value-based arrangements
  • Proven ability to collaborate cross-functionally with clinical, financial, and operational teams

Preferred

  • Experience with cardiovascular or cardiology-focused service lines
  • Contracting experience in the Florida and Arizona markets
  • Proficient in Excel for contract modeling
  • Familiarity with Medicare Advantage and value-based payment models

 

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