Payer Contracting Manager, Transplant Program

Intermountain Healthcare Inc.; Helena (MT); Remote; USD 55,000 - 96,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation bonus

AP4P performance plan

Job summary

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program. This role leads strategic payer and specialty network relationships, focusing on transplant reimbursement, complex negotiations, and contract optimization.

Remote work with travel as needed, with potential onsite interviews and meetings. The role requires expertise in contract language, rate methodologies, and cross-functional collaboration across finance, legal, and compliance, plus leadership of the

Qualifications

• Experience in payer relationships management and contract negotiations.
• Knowledge of reimbursement models and rates in healthcare.
• Ability to lead cross-functional teams and mentor staff.

Responsibilities

• Manages all aspects of assigned payer relationships, including contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintains ongoing expertise of all assigned contracts, including language, rates, methodologies, and providers/facilities.
• Ensures contract language, documentation, negotiation, payment rate, and contract storage align with standard practices.
• Coordinates with Finance and Revenue Cycle leadership 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.
• Experience negotiating complex payer agreements and transplant center arrangements with high acuity reimbursement.

Skills

Payer contracting

Contract negotiation

Reimbursement knowledge

Leadership

Tools

Microsoft Teams

Job description

Job Description

The Payer Contracting Manager, Transplant Program is responsible for the strategic management of payer and specialty network relationships that support Intermountain Health's transplant programs. This role brings expertise in transplant reimbursement, specialty network contracting, and complex payer negotiations, partnering closely with business development and operational leaders to expand transplant outreach agreements, strengthen referral networks, and drive program growth. The position oversees all aspects of assigned contracts, including negotiation support, contract and relationship management, reimbursement issue resolution, rate optimization, and cross-functional collaboration. This role serves as the primary contracting lead for transplant-related payer agreements across Intermountain Health.

This position can be performed remotely with business travel as-needed. Intermountain Health maintains employment registration in Utah, Idaho, Nevada, Colorado, Montana, and Wyoming. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment.

• Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
• Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
• Coordinates with Finance and Revenue Cycle leadership for the implementation of risk-based contracting, and proactive care, strategies and initiatives.
• Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.
• Provides leadership and mentorship to Payer Contracting Managers.

Experience negotiating complex payer agreements, transplant center of excellence arrangements, specialty network contracts, and/or other advanced reimbursement models, with a strong understanding of case rates, bundled payments, carve out agreements, and high acuity service reimbursement.

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

This is an exempt, full-time position. In addition to the annual salary, to show our commitment to you and assist with your transition, we may offer a sign-on and relocation bonus when applicable. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity.

Ability to travel on a frequent basis to negotiate contracts with payers.

Key Bank Tower, Nevada Central Office, Peaks Regional Office

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules.