Payer Contracting Manager, Transplant Program

Intermountain Healthcare Inc.; Trenton (NJ); Teletrabalho; USD 82 000 - 127 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Sign-on bonus

Relocation assistance

AP4P/Performance bonus

Resumo da oferta

Intermountain Health seeks a Payer Contracting Manager for the Transplant Program to lead strategic payer relationships, reimbursement strategies, and complex negotiations. The role partners with business development and operations to expand transplant outreach and drive program growth.

The position oversees contract negotiation, language accuracy, and cross-functional collaboration, serving as the primary lead for transplant-related payer agreements. Remote work with travel may be required.

Qualificações

• Experience leading and supporting complex negotiations.
• Experience in a professional role that requires effective verbal and written communication to present advanced topics clearly and professionally.
• Demonstrated ability to synthesize extensive data into clear, concise summaries.
• Experience leading teams, including cross-functional teams and mentoring caregivers.

Responsabilidades

• 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, negotiation, payment rate/methodology, and contract storage 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 leadership for risk-based contracting and proactive care strategies.
• Coordinates with Legal and Compliance to ensure contract accuracy and regulatory compliance.
• Provides leadership and mentorship to Payer Contracting Managers.

Conhecimentos

Contracting Strategies

Healthcare Contracts

Negotiations

Payer Contracting

Proactive Care

Risk-based Contracting

Relationship Management

Managed Care

Legal Practices

Leadership

Descrição da oferta de emprego

Fully Remote

Key Bank Tower

Full time

R179123

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. Candidates in other locations may be considered. Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, MA, MN, NY, PA, RI, VT, and WA. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Essential Functions

• 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.

• Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.

• Establishes and maintains effective long-term relationships with highly aligned payers.

• 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.

Skills

• Contracting Strategies

• Healthcare Contracts

• Negotiations

• Payer Contracting

• Proactive Care

• Risk-based Contracting

• Relationship Management

• Managed Care

• Legal Practices

• Leadership

Minimum Qualifications

• Experience leading and supporting complex negotiations.

• Experience in a professional role that requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.

• Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.

• Experience leading teams, including cross-functional teams.

• Demonstrated experience mentoring teams and caregivers.

Preferred Qualifications

• 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.

Additional Information

• This is an exempt, full-time position. Pay offers are determined by prior years of relevant experience within the established pay range.

• 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. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals.

Physical Requirements

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

• 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.

• May be expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Key Bank Tower, Nevada Central Office, Peaks Regional Office

Work City

Salt Lake City

Work State

Utah

Scheduled Weekly Hours

40

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

$59.50 - $91.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. 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. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. 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. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm_source=Workday&utm_medium=Redirect&utm_campaign=CareerHome_workday) .

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Thanks for your interest in continuing your career with our team!