Hybrid Payor Contract Services Manager

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 120,000 - 180,000; Full time

Job summary

UPMC is seeking a Manager, Payor Contract Services to lead contract planning, review, and negotiations across ambulatory and ancillary service lines. The role requires strategic leadership in reimbursement initiatives and operational support for diverse provider types, including IDTFs, urgent care, ASCs, infusion centers, and home health services.

The manager will review opportunities, represent UPMC with payors, coordinate meetings, and develop contract plans to grow market share.

Qualifications

• Bachelor's or Master's with required experience in payor contracting.
• Experience negotiating commercial, Medicare and Medicaid agreements.
• Strong understanding of healthcare reimbursement methodologies.
• Ability to lead Payor Contract Services staff and cross-functional teams.

Responsibilities

• Review and evaluate commercial, Medicare, and Medicaid contract opportunities; assess risks and benefits for UPMC.
• Act as primary representative with payors; coordinate meetings; analyze changes in terms.
• Communicate with Hospital/Physician divisions, Joint Venture Partners, and Patient Billing Services about terms and rates.

Skills

Contract negotiation

Leadership

Strategic planning

Communication

Education

Bachelor's degree + 10+ years experience

Master's degree + 7+ years experience

Job description

UPMC is seeking a Manager, Payor Contract Services to lead contract planning, review, and negotiations across ambulatory and ancillary service lines. The role requires strategic leadership in reimbursement initiatives and operational support for diverse provider types, including IDTFs, urgent care, ASCs, infusion centers, and home health services.

The manager will review opportunities, represent UPMC with payors, coordinate meetings, and develop contract plans to grow market share.