Payer Contract Manager Sr

Ladders

United States

Remote

USD 102,000 - 146,000

Full time

8 hours ago
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Benefits offered by this job

Medical and dental coverage
Retirement benefits
Paid time off

Job summary

Ladders is seeking a Payer Contract Manager Sr for a remote US-based role. You will lead payer contracting strategy, negotiate reimbursement terms, and strengthen relationships with payers while aligning contracts with regulations and organizational goals.

Collaborating with senior leadership, you will evaluate reimbursement structures, manage payer relationships, and identify opportunities to improve revenue and reduce financial risk across the organization.

Qualifications

  • Bachelor's degree in finance, healthcare administration, or related field required; 10+ years of relevant experience in payer contracting preferred.
  • Experience in financial or medical data analysis or contract negotiation in healthcare setting recommended.
  • Familiarity with medical and pricing terminology such as DRG, RUG, APC, RVU, and conversion factors.

Responsibilities

  • Develop and implement contracts with third-party payers.
  • Lead negotiations with payers on reimbursement models, including fee-for-service and value-based terms.
  • Manage overall payer relationships and make recommendations to senior leadership.
  • Evaluate payer relationships to identify opportunities for revenue improvement and cost reduction.
  • Ensure contract language complies with state and federal laws and minimizes financial and operational risks.

Skills

Payer contracting
Contract negotiation
Financial analysis
Healthcare operations
Regulatory compliance

Education

Bachelor's degree in finance, healthcare administration, or related field

Job description

For our client, we are seeking a Payer Contract Manager Sr to join the team of a leader in the Healthcare space.

This role will oversee payer contracting strategy and negotiation efforts that support reimbursement performance across a healthcare organization. The position will partner closely with senior leadership and internal stakeholders to strengthen payer relationships, improve contract outcomes, and reduce financial and operational risk. It will also play an important role in evaluating reimbursement structures and ensuring contract terms align with applicable regulations and organizational objectives.

Location: Remote - US based candidates only, no visa sponsorship available

Compensation: $101,546 - $146,140 annually

Responsibilities
  • Develop and implement contracts with third-party payers.
  • Lead negotiations with payers on reimbursement models, including fee-for-service and value-based terms.
  • Manage overall payer relationships and make recommendations to senior leadership.
  • Evaluate payer relationships to identify opportunities for revenue improvement and cost reduction.
  • Ensure contract language complies with state and federal laws and minimizes financial and operational risks.
Qualifications
  • Bachelor's degree in finance, healthcare administration, or a related field; or 10+ years of relevant experience in payer contracting.
  • Minimum of 7 years in financial or medical data analysis or contract negotiation within a healthcare setting.
  • Experience in acute care environments is preferred.
  • Familiarity with medical and pricing terminology such as DRG, RUG, APC, RVU, and conversion factors.
Benefits
  • Comprehensive benefits package including medical and dental coverage.
  • Retirement benefits and paid time off.
  • Competitive salary range based on experience and qualifications.

Our client is an equal opportunity employer.

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