Payer Contracting & Negotiations Specialist

Talentify; New York (NY); On-site; USD 77,000 - 119,000; Full time

Job summary

Albany Med Health System Contract Administrator — System Payer Contracting in Albany, NY, leads data-supported recommendations, develops contracting strategies, and negotiates with payers, including government programs. The role prepares proposals, conducts meetings, and drives compliant contract execution across the AMHS network.

This position requires a Bachelor's degree and experience in managed care negotiations, with travel to affiliate locations for scheduled meetings at Saratoga Hospital,

Qualifications

• Bachelor's Degree in Business and/or Health Care Administration is required.
• Minimum of 4 years in managed care negotiations and managed care network operations.
• Minimum of 1 year of experience in leading complex payer negotiations and mediation is required.

Responsibilities

• Meets with representatives of payers, managed care organizations and other agencies to evaluate current contracts or develop new contracting opportunities.
• Reviews proposals and makes data-informed recommendations for internal consideration in preparation for negotiations.
• In conjunction with the Director or VP for Payer Contracting, negotiates contract parameters and prepares/presents proposals representing AMHS’s position.
• Works cross-functionally to evaluate and develop proposals identifying opportunities and risks.
• Collaborates with Legal and Compliance to ensure contract compliance and implementation capabilities.
• Monitors contract renewals and reviews, coordinating with Finance for timely analyses.

Education

Bachelor's Degree in Business and/or Health Care Administration

Job description

Albany Med Health System Contract Administrator — System Payer Contracting in Albany, NY, leads data-supported recommendations, develops contracting strategies, and negotiates with payers, including government programs. The role prepares proposals, conducts meetings, and drives compliant contract execution across the AMHS network.

This position requires a Bachelor's degree and experience in managed care negotiations, with travel to affiliate locations for scheduled meetings at Saratoga Hospital,