Manager, Payor Strategy and Contracting

Added
1 hour ago
Type
Full time
Salary
Salary not provided

Related skills

negotiation ffs_contracts risk_based_contracts

📋 Description

  • Lead end-to-end payer negotiations (FFS, value-based, risk-bearing, and hybrid)
  • Design contract structures to improve margin and long-term scalability
  • Leverage payer relationships to accelerate deal cycles
  • Review health plan contracts and reimbursement mechanisms
  • Translate clinical programs into reimbursable models
  • Partner with Legal, Finance, and Ops to align contracts with economics and pricing

🎯 Requirements

  • 8–10+ years in managed care contracting
  • Proven ability to secure competitive rates and complex agreements
  • Established strategic payer relationships
  • Deep understanding of reimbursement models and healthcare economics
  • Experience aligning contracting with pricing and financial models
  • Highly credible communicator at executive and operator levels
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