Manager of Payer Contracting and Reimbursement

Interim HealthCare Inc.; Morgantown (WV); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Competitive salary

Incentives

Benefits

Job summary

Interim HealthCare Inc. seeks a Manager of Payer Contracting and Reimbursement for its home health and hospice services.

This leadership role leads development, negotiation, and management of payer contracts and serves as the primary liaison with commercial payers, Medicare Advantage, and Medicaid Managed Care. Reports to Senior Director of Sales; collaborates with Finance, Revenue Cycle, Operations, Clinical Leadership, Business Development, and Executive Leadership to support growth and

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Minimum of five years of healthcare payer contracting, managed care, provider relations, reimbursement, or healthcare finance experience.
• Experience negotiating contracts with commercial health plans, Medicare Advantage, and Medicaid Managed Care entities.
• Knowledge of home health, hospice, post-acute care, or related reimbursement models.
• Strong financial analysis, forecasting, and contract evaluation skills.
• Excellent negotiation, communication, and relationship management abilities.
• Experience managing multiple projects and priorities in a fast-paced environment.

Responsibilities

• Lead all payer contract negotiations, renewals, amendments, and terminations.
• Develop and execute contracting strategies designed to improve reimbursement rates, strengthen market position, and support organizational growth objectives.
• Serve as the organization's primary point of contact for payer representatives, provider relations teams, and network managers.
• Establish and maintain strong strategic partnerships with key payer organizations.
• Partner with Revenue Cycle, Billing, Finance, Operations, and Clinical Leadership to ensure successful implementation of payer agreements.
• Support strategic initiatives related to service-line expansion, new market development, and acquisitions.
• Monitor federal, state, and payer-specific regulations affecting reimbursement and managed care contracting.
• Ensure compliance with CMS regulations, Medicare requirements, Medicaid guidelines, and contractual obligations.

Skills

Negotiation

Communication

Relationship management

Financial analysis

Forecasting

Contract evaluation

Project management

Education

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field

Job description

Description

Manager of Payer Contracting and Reimbursement (Home Health & Hospice)

Candidate will ideally reside in OH, western PA, north/central WV, southern/central IN, or northern KY

• Ability to work a flexible schedule, including occasional evenings, as business needs require.
• Ability to travel and occasionally overnight for payer meetings, conferences, and organizational initiatives.

We are seeking a Manager of Payer Contracting and Reimbursement. Reports to the Senior Director of Sales and is responsible for leading the development, negotiation, implementation, and ongoing management of payer contracts that support the organization's home health and hospice service lines. This role serves as the primary liaison between the organization and commercial insurance payers, Medicare Advantage plans, Medicaid Managed Care organizations, and other third‑party reimbursement entities. The Manager is responsible for securing favorable reimbursement agreements, expanding payer network participation, evaluating contract performance, and identifying opportunities to enhance revenue and profitability. This position works collaboratively with Finance, Revenue Cycle, Operations, Clinical Leadership, Business Development, and Executive Leadership to support organizational growth, market expansion, and operational excellence. The role also provides oversight of credentialing activities to ensure timely provider enrollment and compliance with payer requirements.

What we offer our Manager of Payer Contracting and Reimbursement:

Competitive Salary, Incentives, & benefits

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.

As a Manager of Payer Contracting and Reimbursement, you will:

Essential Responsibilities:

Payer Contracting and Negotiation

• Lead all payer contract negotiations, renewals, amendments, and terminations.
• Develop and execute contracting strategies designed to improve reimbursement rates, strengthen market position, and support organizational growth objectives.

Payer Relationship Management

• Serve as the organization's primary point of contact for payer representatives, provider relations teams, and network managers.
• Establish and maintain strong strategic partnerships with key payer organizations.

Reimbursement Analysis and Financial Performance

Cross‑Functional Leadership and Collaboration

• Partner with Revenue Cycle, Billing, Finance, Operations, and Clinical Leadership to ensure successful implementation of payer agreements.
• Support strategic initiatives related to service‑line expansion, new market development, and acquisitions.

Compliance and Regulatory Oversight

• Monitor federal, state, and payer‑specific regulations affecting reimbursement and managed care contracting.
• Ensure compliance with CMS regulations, Medicare requirements, Medicaid guidelines, and contractual obligations.

To qualify for a Manager of Payer Contracting and Reimbursement with us:

Required

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Minimum of five years of healthcare payer contracting, managed care, provider relations, reimbursement, or healthcare finance experience.
• Demonstrated experience negotiating contracts with commercial health plans, Medicare Advantage organizations, and Medicaid Managed Care entities.
• Knowledge of home health, hospice, post‑acute care, or related healthcare reimbursement models.
• Strong financial analysis, forecasting, and contract evaluation skills.
• Excellent negotiation, communication, and relationship management abilities.
• Experience managing multiple projects and priorities in a fast‑paced environment.

Preferred

• Experience in home health, hospice, or post‑acute care settings.
• Multi‑state payer contracting experience.
• Experience with value‑based purchasing, risk‑sharing arrangements, and alternative payment models.
• Supervisory or leadership experience within contracting, reimbursement, or credentialing functions.

Knowledge, Skills, And Abilities

• Knowledge of healthcare payer contracting, reimbursement methodologies, managed care, and revenue cycle operations.
• Understanding of Medicare, Medicare Advantage, Medicaid Managed Care, and commercial payer structures.

At Interim Healthcare Home Care, our patients deserve the very best - that's why we focus on each individual's needs in the comfort and dignity of their home. Through nursing, personal care, therapy, case management, and countless specialized services, we bring quality care where it's needed most. We're called to care so that family members can be just that.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

#RMC

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.