Manager, Payer Contracts

FOCUSPOINT; California (MO); On-site; USD 118,000 - 183,000; Full time

Benefits offered by this job

Bonus

Job summary

FocusPoint Talent Solutions Confidential Healthcare Client in Los Angeles, CA seeks a Manager, Payer Contracts to lead payer strategy, contract negotiations, and revenue integrity. This on-site role reports to senior operations and partners with Finance and Revenue Cycle to optimize reimbursement and contract outcomes.

The successful candidate will manage lifecycle negotiations, model financial terms, oversee staff, and ensure compliance with payer requirements.

Qualifications

• Bachelor's degree in business, finance, economics, or healthcare preferred.
• 7+ years in hospital/healthcare insurance with payer contracting responsibilities.
• Expertise in payer contract negotiation, administration, and financial analysis.
• Advanced Excel skills with modeling and complex formulas.
• Experience with hospital billing systems and financial reporting tools.
• Strong communication, analytical, and problem-solving skills.
• Ability to lead teams and drive measurable outcomes.

Responsibilities

• Serve as the primary liaison for payer contracting, negotiations, and issue resolution.
• Develop negotiation strategies, contract language recommendations, and financial terms aligned with organizational goals.
• Conduct financial modeling, reimbursement analysis, and “what if” scenario modeling to support contract decisions.
• Maintain and manage all payer agreements, amendments, renewal timelines, and contract files.
• Oversee implementation of contract terms within internal systems and validate accuracy.
• Ensure compliance with payer requirements, including annual updates and price transparency obligations.
• Maintain payer scorecards and performance dashboards to support renegotiation and financial planning.
• Lead denial management operations, ensuring denials are tracked, trended, appealed, and resolved effectively.
• Collaborate with revenue producing departments to ensure accurate daily charging and timely correction of discrepancies.
• Supervise and develop the Contract Analyst and other assigned staff.
• Communicate payer policies, updates, and contract changes to internal stakeholders.

Skills

Payer contract negotiation

Financial analysis

Advanced Excel

Leadership

Education

Bachelor's degree

Master's degree (preferred)

Tools

Hospital billing systems

Financial reporting tools

Job description

Position: Manager, Payer Contracts | Location: Los Angeles, CA | Employment Type: Full Time | Compensation: $117,952.00 to $182,723.20 plus bonus

FocusPoint Talent Solutions Confidential Healthcare Client

Our client, a respected healthcare organization, is seeking an experienced Manager, Payer Contracts to lead payer strategy, contract negotiations, and revenue integrity functions. This role is ideal for a seasoned managed care professional who excels at building payer relationships, driving financial performance, and leading operational improvements.

About the Role

The Manager, Payer Contracts oversees the full lifecycle of payer agreements, including negotiation, execution, compliance, and performance monitoring. This leader partners closely with Finance, Revenue Cycle, and operational teams to ensure accurate reimbursement, strong payer partnerships, and optimized contract outcomes.

Key Responsibilities

• Serve as the primary liaison for payer contracting, negotiations, and issue resolution.
• Develop negotiation strategies, contract language recommendations, and financial terms aligned with organizational goals.
• Conduct financial modeling, reimbursement analysis, and "what if" scenario modeling to support contract decisions.
• Maintain and manage all payer agreements, amendments, renewal timelines, and contract files.
• Oversee implementation of contract terms within internal systems and validate accuracy.
• Ensure compliance with payer requirements, including annual updates and price transparency obligations.
• Maintain payer scorecards and performance dashboards to support renegotiation and financial planning.
• Lead denial management operations, ensuring denials are tracked, trended, appealed, and resolved effectively.
• Collaborate with revenue producing departments to ensure accurate daily charging and timely correction of discrepancies.
• Supervise and develop the Contract Analyst and other assigned staff.
• Communicate payer policies, updates, and contract changes to internal stakeholders.

Required Qualifications

• Bachelor's degree required (business, finance, economics, or healthcare preferred).
• Minimum 7 years of recent experience in hospital, medical, or healthcare insurance environments with direct payer contracting responsibilities.
• Demonstrated expertise in payer contract negotiation, administration, and financial analysis.
• Advanced Excel skills, including modeling and complex formulas.
• Experience with hospital billing systems and financial reporting tools.
• Strong communication, analytical, and problem solving skills.
• Ability to lead teams, manage competing priorities, and drive measurable outcomes.

Preferred Qualifications

• Master's degree in healthcare economics, healthcare policy, or finance.
• 10+ years of progressive hospital payer contracting experience.
• Prior experience supervising payer contracting or revenue integrity staff.

What Makes This Opportunity Attractive

• High impact role influencing payer strategy and financial performance.
• Direct visibility with senior leadership.
• Opportunity to shape payer relationships and drive operational improvements.
• Stable, mission driven healthcare environment.

Why Work with FocusPoint

As a trusted staffing partner to industry-leading companies, FocusPoint provides access to roles that align with your professional goals, and we advocate for your success throughout the recruitment process. Our team understands appropriate skillsets and takes a consultative approach ensuring that each match is grounded in both experience and fit.