Payer Relations Account Manager

Pure Infusion; Sandy (UT); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

401(k) Matching

Health, Vision, and Dental Insurance

Over 20 days of paid time off annually

Job summary

Pure Infusion in Utah is seeking a Payer Account Manager to oversee end-to-end payer relationships, including contract strategy, negotiations, and renewals.

You will serve as the primary contact for payers, driving strategy through data analysis and cross-functional collaboration to optimize contracts for financial performance and market access. Strong negotiation, analytical, and communication skills are essential.

Qualifications

• Strong relationship management and negotiation skills.
• Advanced analytical ability with experience interpreting contract and utilization data.
• Proficient in Excel for data manipulation, modeling, and reporting.
• Exceptional organizational skills with strong attention to detail.
• Clear, professional written and verbal communication skills.
• Ability to manage multiple complex accounts and priorities.

Responsibilities

• Own the full contract strategy for assigned payer accounts, including new contracts, amendments, renewals, and renegotiations.
• Analyze payer performance and market conditions to inform contract positioning and negotiation strategy.
• Lead contract discussions and negotiations with payers in alignment with organizational objectives.
• Facilitate and manage the contract approval and signature process for assigned accounts.
• Drive payer engagement strategies including redirection programs and value-based opportunities.
• Prepare impact assessments and data analyses for leadership decisions.

Skills

Relationship management

Negotiation

Data analysis

Organizational skills

Communication

Proactive problem-solving

Multitasking

Collaboration

Education

Bachelor's degree preferred

HS diploma or equivalent required

5+ years payer contracting/management

2+ years payer relationship management

Excel data analysis

Tools

Excel

Job description

The Payer Account Manager is responsible for the end-to-end strategic management of assigned payer relationships. This role owns the full lifecycle of payer accounts, including contract strategy, negotiations and renegotiations, redirection initiatives, relationship management, contract tagging, and performance analysis.

The Account Manager serves as the primary point of contact for assigned payers, driving strategy through data analysis, cross-functional coordination, and proactive relationship development. This role ensures contracts are optimized for financial performance, operational alignment, and long-term market access, while supporting internal teams with accurate, timely contract resources and communication.

Key Responsibilities

• Own the full contract strategy for assigned payer accounts, including new contracts, amendments, renewals, and renegotiations.
• Analyze payer performance and market conditions to inform contract positioning and negotiation strategy.
• Lead contract discussions and negotiations with payers in alignment with organizational objectives.
• Facilitate and manage the contract approval and signature process for assigned accounts.

Relationship Management & Redirection Strategy

• Serve as the primary relationship owner for assigned payers, maintaining strong, professional partnerships.
• Drive payer engagement strategies including redirection programs, site-of-care initiatives, and value-based opportunities.
• Represent organizational programs, processes, and strategic initiatives in payer-facing discussions.
• Identify opportunities to strengthen relationships and expand access or utilization.

Contract Implementation & Resource Accuracy

• Collaborate with the Contract Implementation Specialist to ensure accurate contarct term communication including fee schedule management.

Data Analysis & Reporting

• Conduct data analysis related to scheduling, drug rates, fee schedules, utilization, and reimbursement performance.
• Prepare impact assessments and reports to support leadership decision-making.
• Assemble clear, digestible data and insights for internal leadership and payer-facing conversations.
• Analyze the financial impact of contract changes, renegotiations, and payer policy updates.

Cross-Functional Coordination & Compliance Support

• Collaborate with Credentialing to ensure accurate payer applications for new, current, and legacy sites.
• Support provider and location documentation maintenance to meet compliance requirements.
• Manage updates related to demographics, recredentialing, and contract changes for assigned accounts.

Communication & Process Improvement

• Develop and improve processes and procedures to increase efficiency and accuracy within payer account management.
• Track and report account activities, deliverables, and outcomes with accuracy and timeliness.

Required Knowledge and Skills

• Strong relationship management and negotiation skills.
• Advanced analytical ability with experience interpreting contract, fee schedule, and utilization data.
• Proficient in Excel for data manipulation, modeling, and reporting.
• Exceptional organizational skills with strong attention to detail.
• Clear, professional written and verbal communication skills.
• Forward‑thinking, proactive approach to problem‑solving.
• Ability to manage multiple complex accounts and priorities simultaneously.
• Collaborative mindset with accountability for outcomes.

Education & Experience Requirements

• Bachelor’s degree preferred; High School Diploma or equivalent required.
• 5+ years of relevant experience in payer contracting, contract management, healthcare operations, or medical office management.
• 2+ years of direct payer or partner relationship management experience.
• Demonstrated experience performing data analytics and financial impact analysis using Excel or similar tools.
• Ability to meet U.S. employment eligibility requirements.

Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations.

Benefits

• 401(k) Matching
• Health, Vision, and Dental Insurance
• Over 20 days of paid time off annually