Payer Contracting Lead – Transplant Programs

Intermountain Health

Denver (CO)

On-site

USD 82,000 - 127,000

Full time

13 days ago

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Benefits offered by this job

Sign-on bonus
Relocation bonus
AP4P - annual pay-for-performance
Comprehensive benefits package

Job summary

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program. The role focuses on strategic payer relationships, specialty network contracting, and complex negotiations to grow transplant outreach and strengthen referrals.

Responsibilities include overseeing contract negotiations, rate optimization, and cross-functional collaboration with Finance, Legal, and Compliance. Remote work is possible with travel as needed; candidates outside the listed states may be considered.

Qualifications

  • Experience leading and supporting complex negotiations.
  • Experience in a professional role that requires effective verbal and written communication to present advanced topics clearly.
  • Demonstrated ability to synthesize data into concise summaries without sacrificing details.
  • Experience leading teams, including cross-functional teams.
  • Mentoring teams and caregivers.

Responsibilities

  • Manages all aspects of assigned payer relationships, including contract language negotiation and management, rate research and negotiation, dispute resolution, and relationship management.
  • Maintains ongoing expertise of all assigned contracts, including language, rates, methodologies, and contracted providers.
  • Ensures contract language, documentation, payment rate/methodology, storage, and issues follow standard practices.
  • Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.
  • Establishes and maintains long-term relationships with highly aligned payers.
  • Coordinates with Finance and Revenue Cycle for risk-based contracting and proactive care strategies.
  • Coordinates with Legal and Compliance for regulatory compliance and language consistency.
  • Provides leadership and mentorship to Payer Contracting Managers.

Skills

Contracting Strategies
Healthcare Contracts
Negotiations
Payer Contracting
Proactive Care
Risk-based Contracting
Relationship Management
Managed Care
Leadership

Education

Bachelor's degree in a relevant field

Job description

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program. The role focuses on strategic payer relationships, specialty network contracting, and complex negotiations to grow transplant outreach and strengthen referrals.

Responsibilities include overseeing contract negotiations, rate optimization, and cross-functional collaboration with Finance, Legal, and Compliance. Remote work is possible with travel as needed; candidates outside the listed states may be considered.

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