Manager, Healthcare Contracts

OrthoVirginia

Richmond (VA)

Remote

USD 83,000 - 124,000

Full time

7 days ago
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Job summary

OrthoVirginia is expanding its healthcare contracts team to lead payer negotiations and optimize contract performance across commercial and government payers. The role focuses on developing strategies, expanding network coverage, and ensuring compliant, favorable reimbursement terms.

You will manage the full lifecycle of contracts, collaborate with leadership and revenue-cycle teams, and provide market insights to drive growth while maintaining strong payer partnerships.

Qualifications

  • Bachelor's degree required.
  • 3+ years in healthcare payer contracting.
  • Proven negotiation and relationship management skills.
  • Knowledge of healthcare reimbursement, payer ops, and regulations.
  • Experience with Epic.
  • Strong analytical, communication, and organizational abilities.

Responsibilities

  • Lead negotiation and management of commercial, government, and payer contracts.
  • Identify opportunities to expand payer access and market coverage.
  • Evaluate reimbursement methods and financial performance to guide strategy.
  • Manage full contract lifecycle from planning to renewal.
  • Build relationships with payer partners and internal stakeholders.
  • Monitor contract performance and generate regular reports.

Skills

Payer contracting
Contract negotiation
Relationship management
Healthcare reimbursement
Analytical skills
Communication
Organizational skills

Education

Bachelor's degree

Tools

Epic

Job description

At OrthoVirginia, you're part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia's largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.Lead the negotiations that fuel growth.Shape payer partnerships, optimize reimbursement strategies, and drive agreements that support the financial health of our organization and the care we provide.

As our Healthcare Contracts Manager , you'll lead payer contracting strategy from negotiation through implementation, securing agreements that support financial performance, operational goals, and long-term growth. This is an opportunity to play a highly visible role, collaborating with leaders across the organization while building strong relationships with payers and provider partners.The ideal candidate combines strong negotiation and analytical skills with a deep understanding of healthcare contracting. They thrive in a fast-paced environment, can confidently manage complex agreements, and enjoy turning data and market insights into strategic business decisions.

Location:

Remote (Must reside in Virginia)

What You'll Do
Contract Development & Negotiation
  • Lead the negotiation, execution, and management of contracts across commercial, government, and other payer relationships.
  • Identify opportunities to expand payer access and strengthen market coverage.
  • Evaluate reimbursement methodologies, utilization trends, and financial performance to support contract strategy.
  • Ensure agreements align with organizational objectives and regulatory requirements.
Contract Lifecycle Management
  • Manage the full contract lifecycle, from planning and negotiation through implementation and ongoing administration.
  • Coordinate internal review and approval processes for contract execution.
  • Maintain contract documentation and ensure timely management of renewals, amendments, and termination deadlines.
  • Develop processes and tracking tools to support effective contract oversight.
Relationship Management
  • Build and maintain productive relationships with payer partners and internal stakeholders.
  • Partner with leadership to identify opportunities for contract optimization and network growth.
  • Review fee schedules and contract language to ensure competitiveness and alignment with organizational needs.
Collaboration & Communication
  • Serve as a trusted resource on contract terms, reimbursement methodologies, and payer policies.
  • Communicate contract updates and payer changes to operational, billing, and revenue cycle teams.
  • Support strategic initiatives by providing contracting expertise and market insights.
Reporting & Analytics
  • Monitor contract performance and identify opportunities for improvement.
  • Prepare regular reports and updates on contracting activities and key initiatives.
  • Maintain accurate contract data within internal systems and databases.
  • Support special projects and contracting-related initiatives as needed.
What We're Looking For
Required Qualifications
  • Bachelor's degree required.
  • At least 3 years of healthcare payer contracting experience.
  • Proven contract negotiation and relationship management skills.
  • Knowledge of healthcare reimbursement, payer operations, and regulatory requirements.
  • Experience with Epic.
  • Strong analytical, communication, and organizational skills with the ability to manage competing priorities.
Preferred Qualifications
  • Experience with health plans, MSOs, IPAs, or TPAs.
  • Experience with reimbursement analysis, network development, and market expansion initiatives.

Compensation Range for this position:$83,000.00 - $124,450.00Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.

This organization participates in e-Verify. Esta organización participa en e-Verify.

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