Manager, Payer Contracting (Telehealth)

Location: United States - Remote

Company

hirify.global provides telehealth support solutions that help organizations deliver virtual care across a broad range of specialties and all 50 states.

What you will do

• Own the identification, organization, assessment, negotiation, implementation, renewal, and ongoing management of payer contracts.
• Build a contracting inventory across entities, payers, markets, and states, including agreements, renewal dates, fee schedules, requirements, and remediation gaps.
• Determine group-level versus individual provider contracting strategies and lead negotiations with national and regional health plans.
• Negotiate reimbursement rates, fee schedules, financial arrangements, and contract terms using utilization, coding, reimbursement, payer mix, and financial data.
• Coordinate with Revenue Cycle Management, Payer Enrollment, Finance, Clinical Operations, Compliance, Legal, and Coding to implement agreements in downstream systems and workflows.
• Monitor contract performance, renewals, reimbursement changes, and payer-specific issues while supporting acquisitions, restructuring, and scalable contracting processes.

Requirements

• Bachelor’s degree or equivalent relevant experience.
• 6+ years of progressive experience in payer, managed care, or provider contracting, preferably in a multi-state or national healthcare organization.
• Direct provider-side experience negotiating payer contracts, reimbursement rates, fee schedules, and contract terms.
• Strong understanding of group versus individual provider contracting, enrollment considerations, healthcare reimbursement, fee schedules, claims, and managed care contracting.
• Working knowledge of Medicare, Medicaid, Medicaid Managed Care, Medicare Advantage, and commercial payer contracting.
• Ability to structure incomplete information, manage complex priorities independently, and drive agreements through implementation.

Nice to have

• Experience working in both payer and provider organizations.
• Experience with value-based contracting or alternative reimbursement arrangements.
• Experience consolidating or restructuring agreements after acquisitions or entity changes.
• Familiarity with MDStaff, Medallion, Verisys, payer portals, billing systems, contract management tools, Jira, Zendesk, or Zoho Desk.

Culture & Benefits

• Remote work in the United States.
• Flat organizational structure with autonomy to bring ideas forward and drive decisions.
• Medical, dental, and vision coverage.
• Flexible Spending Accounts and Health Savings Accounts.
• Generous paid time off, company holidays, 401(k), and additional benefits based on eligibility.