Manager, Payor Contracting

Zarminali Pediatrics; Chicago (IL); On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Meaningful impact

Mission-driven culture

Growth initiatives exposure

Remote work flexibility

Collaborative team culture

Job summary

Zarminali Pediatrics seeks a Manager of Payor Contracting to lead negotiation, implementation, and management of payor agreements across its growing pediatric network.

You will build partnerships with commercial and government payors, analyze reimbursement trends, and drive strategies that enhance access and value-based care, while collaborating with cross-functional teams nationwide.

Qualifications

• Bachelor’s degree required; Master’s degree preferred.
• 5+ years of progressive payor contracting or reimbursement experience.
• 2+ years of leadership or management experience.
• Experience with outpatient pediatric CIN/IPA environments preferred.
• Proven success negotiating commercial payor agreements (fee-for-service and value-based).
• Strong knowledge of reimbursement methodologies (PFS, RBRVS, capitation, bundled payments).

Responsibilities

• Develop, negotiate, and manage contracts with payors to support financial goals.
• Manage CIN/IPA relationships, identifying partnership opportunities.
• Analyze payor performance, denials, and variances to identify improvements.
• Support contracting for new markets, de novo clinics, and network expansions.
• Build financial models and recommendations for contracting strategies.
• Create scorecards and KPIs to evaluate contract impact.
• Collaborate with Finance, Revenue Cycle, Operations, Legal, and Clinical teams.
• Ensure contract compliance with Medicaid, CHIP, and ACA requirements.

Skills

Analytical skills

Financial modeling

Negotiation

Contract management systems

Excel/Tableau

Communication

Team collaboration

Education

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field

Master’s degree preferred

Tools

Excel

Tableau

Job description

Zarminali Pediatrics is building the nation's leading pediatric multispecialty group, focused on supporting families to shape healthy futures for their children – from birth through adulthood – by completely transforming the way pediatric care is delivered nationwide. We are tackling today's challenges of increased administrative burden on clinicians and a siloed approach to pediatric care through intentional design of care delivery, enhanced by leading technology and collaborative, expert care teams.

Our name, inspired by our founder's daughter's name – Zarmina – means “something that is more precious to you than gold”. We couldn’t think of anything that better represents the way parents and caregivers hold the relationship with their children as the most valuable gift, and how we at Zarminali approach care for each child with equal reverence.

We strive for a healthier future for pediatric patients and a happier future for pediatric clinicians nationwide, and we are looking for people to join us in achieving this vision. If you are eager to join a growth stage company and be part of the early team that is shaping the foundation of both the company and the delivery of pediatric care, then this opportunity might be for you!

POSITION OVERVIEW

Zarminali Pediatrics is seeking an experienced and collaborative Manager of Payor Contracting to support the negotiation, implementation, and management of payor agreements across our growing pediatric care network. This role will play a key part in building and maintaining strong relationships with commercial, government, and value-based payors while helping drive sustainable reimbursement models that align with our mission of providing accessible, high-quality pediatric care.

WHAT YOU'LL DO:

• Develop, negotiate, and manage contracts with commercial and government payors to support organizational and financial goals
• Manage relationships with Clinically Integrated Networks (CINs) and Independent Practice Associations (IPAs), including identifying partnership and reimbursement optimization opportunities
• Analyze payor performance, reimbursement trends, denials, and payment variances to identify opportunities for improvement
• Support contracting efforts for new markets, de novo clinic launches, and provider network expansions
• Build financial models, analyses, and recommendations to support contracting and re-contracting strategies
• Develop payor, CIN, and IPA scorecards and key performance indicators to evaluate contract effectiveness and financial impact
• Serve as a key point of contact for payor and CIN/IPA representatives, maintaining proactive and collaborative relationships
• Partner cross-functionally with Finance, Revenue Cycle, Operations, Legal, and Clinical teams to align contracting decisions with organisational priorities and patient access goals
• Ensure contracts remain compliant with applicable state and federal regulations, including Medicaid, CHIP, and ACA requirements
• Maintain accurate contract documentation, governance records, and version control processes
• Support and coordinate team members responsible for contract administration, analytics, and payor relations
• Drive process improvements focused on visibility, operational efficiency, and internal alignment across contracting initiatives
• Participate in payor meetings, committees, and healthcare collaboration forums on behalf of Zarminali Pediatrics

WHAT YOU'LL NEED:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field required; Master’s degree preferred
• 5+ years of progressive experience in payor contracting, network management, or reimbursement strategy within healthcare
• 2+ years of leadership or management experience preferred
• Experience within an outpatient, pediatric, multi-site healthcare organization, CIN, or IPA environment preferred
• Proven success negotiating commercial payor agreements, including fee-for-service and value-based reimbursement models
• Strong understanding of reimbursement methodologies including PFS, RBRVS, capitation, and bundled payments
• Experience managing or supporting CIN and IPA relationships on behalf of a provider organization
• Familiarity with Medicaid plans, pediatric reimbursement structures, and healthcare regulatory requirements
• Strong analytical, financial modeling, and negotiation skills
• Ability to interpret complex contract language and regulatory requirements
• Proficiency with Excel, Tableau, or similar analytics/reporting tools and contract management systems
• Excellent communication and relationship-building skills with the ability to collaborate across teams and with external stakeholders
• Ability to thrive in a fast-paced, growing healthcare environment
• Willingness to travel periodically for payor meetings, clinic visits, or corporate meetings (up to 25%)

WHAT WE OFFER:

• Opportunity to make a meaningful impact within a rapidly growing pediatric healthcare organization
• Collaborative and mission-driven culture focused on improving access and care for children and families
• Exposure to strategic growth initiatives including acquisitions, de novo expansions, and value-based care initiatives
• Partnership with executive, operational, financial, and clinical leadership teams
• Opportunity to help shape reimbursement strategy and operational excellence across multiple markets
• Primarily remote work environment with flexibility and periodic travel opportunities
• Supportive team culture focused on collaboration, innovation, and continuous improvement

At Zarminali Pediatrics, we are committed to our empowering clinicians and team members to deliver better pediatric care, altogether. This commitment requires building an inclusive culture and a team that represents the diverse communities we serve.

We believe that when people from all backgrounds, experiences, and perspectives come together, we create a stronger team and better care for our patients and their families. We realize the importance of an environment where clinicians and team members feel cared for, supported, and valued. We believe in the basics: treating everyone with kindness, respect, and fairness.

We do not tolerate discrimination or harassment of any kind. This includes, but is not limited to, race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law.

We recruit and hire based on skills, talent, and potential, ensuring everyone has a fair chance to succeed. Together, we strive to build an inclusive and welcoming space where we can achieve our goal of building a happier future for the pediatric workforce.