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12 часов назад

Sr. Manager, Payer Relations

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

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Описание вакансии

Текст:
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TL;DR
Sr. Manager, Payer Relations (Healthcare Contracting): Leading payer contracting strategies, negotiations, and contract performance across partner oncology practices with an accent on reimbursement optimization, regulatory alignment, and value-based care. Focus on managing Contract Managers, evaluating financial performance, resolving complex contracting issues, and building payer and practice relationships.

Location: United States; remote position, with an option to work from the corporate office in Nashville, Tennessee, for employees located in the area. Occasional business travel may be required.

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered model focused on improving care for people living with cancer and other diseases.

What you will do

  • Lead, coach, and develop Contract Managers while setting expectations and driving team performance.
  • Evaluate payer contract performance and identify opportunities to improve reimbursement and financial outcomes.
  • Develop and execute payer contracting strategies across assigned practices and markets.
  • Support complex payer negotiations, contract reviews, approvals, and concurrent contracting activities.
  • Collaborate with practice leadership, payers, and internal stakeholders on financial analyses, revenue initiatives, contracting priorities, and value-based care programs.
  • Resolve payer-related issues, maintain accurate contract documentation, educate practice stakeholders, and manage complex projects in a matrixed environment.

Requirements

  • Bachelor’s degree in business, finance, healthcare administration, or a related field.
  • At least five years of healthcare contracting experience within a hospital, clinic, physician practice, or healthcare system.
  • Current experience negotiating physician contracts.
  • Strong understanding of healthcare laws, regulations, and contracting requirements.
  • Strong written and verbal communication, negotiation, interpersonal, relationship management, conflict resolution, and stakeholder collaboration skills.
  • Comprehensive knowledge of Medicare, Medicaid, and commercial insurance.
  • Proficiency with contract management systems and implementation processes.
  • Excellent analytical, critical-thinking, problem-solving, prioritization, and attention-to-detail skills.
  • Ability to work remotely and travel as business needs require; attendance is an essential job function.

Nice to have

  • Five to ten years of people management experience, including leading remote teams.
  • Master’s degree in a related field.
  • Previous or current experience in payer contracting.
  • Knowledge of value-based care programs and development strategies.

Culture & Benefits

  • Values-driven culture combining startup enthusiasm with support from industry leaders in oncology, urology, technology, and finance.
  • Remote work arrangement with an optional Nashville corporate office for employees in the area.
  • Occasional travel based on business needs.

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