Payer Contract Manager: Negotiate & Optimize Reimbursement

MaineHealth Accountable Care Organization; Portland (ME); On-site; USD 83,000 - 113,000; Full time

Benefits offered by this job

Competitive benefits

Paid parental leave

Student loan assistance

Job summary

The Contract Manager at MaineHealth Accountable Care Organization oversees the development, implementation, and ongoing management of commercial fee-for-service and value-based payer contracts across MaineHealth and MHACO.

Working with internal stakeholders and external partners, this role supports optimal reimbursement, maintains competitive positioning, and strengthens relationships with payer organizations to advance financial and operational objectives.

Qualifications

• Bachelor's or higher preferred in Business Administration, Healthcare Administration, Finance, or related field.
• Minimum 5 years of experience in managed care contracting, provider relations, or payer relations within a hospital system, physician organization, or health plan.
• Strong understanding of reimbursement methodologies (e.g., DRG, APC, fee-for-service, value-based care) and ability to interpret complex financial data.

Responsibilities

• Develop, implement and manage commercial fee-for-service and value-based payer contracts across MaineHealth and MHACO.
• Collaborate with internal stakeholders and external partners to support financial and operational objectives.
• Foster strong relationships with payer organizations and support optimal reimbursement and competitive positioning.

Skills

Healthcare reimbursement knowledge

Contract negotiation

Analytical skills

Education

Bachelor's degree

Job description

The Contract Manager at MaineHealth Accountable Care Organization oversees the development, implementation, and ongoing management of commercial fee-for-service and value-based payer contracts across MaineHealth and MHACO.

Working with internal stakeholders and external partners, this role supports optimal reimbursement, maintains competitive positioning, and strengthens relationships with payer organizations to advance financial and operational objectives.