Payer Contracting & Reimbursement Leader (Home Health)

Interim HealthCare Inc.; Pittsburgh (Allegheny County); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Competitive salary

Incentives

Benefits

Job summary

Interim HealthCare Inc. is seeking a Manager of Payer Contracting and Reimbursement to lead the development, negotiation, and ongoing management of payer contracts for home health and hospice services.

The role reports to the Senior Director of Sales and collaborates with Finance, Revenue Cycle, Operations, Clinical Leadership, and Executive Leadership. Ideal candidate has 5+ years in payer contracting, strong financial analysis, and excellent negotiation skills.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field.
• Five years of healthcare payer contracting, managed care, provider relations, reimbursement, or healthcare finance experience.
• Experience negotiating contracts with commercial health plans, Medicare Advantage plans, and Medicaid Managed Care entities.
• Knowledge of home health, hospice, post-acute care, or related reimbursement models.
• Strong financial analysis, forecasting, and contract evaluation skills.
• Excellent negotiation, communication, and relationship management abilities.

Responsibilities

• Lead all payer contract negotiations, renewals, amendments, and terminations.
• Develop and execute contracting strategies to improve reimbursement rates and market position.
• Serve as the organization’s primary contact for payer representatives and network managers.
• Partner with Revenue Cycle, Billing, Finance, Operations, and Clinical Leadership to implement payer agreements.
• Monitor regulations affecting reimbursement and contracting (CMS, Medicare, Medicaid).
• Support strategic initiatives related to service-line expansion and market development.

Skills

Payer contracting

Negotiation

Financial analysis

Provider relations

Regulatory compliance

Cross-functional leadership

Communication

Education

Bachelor’s degree

Job description

Interim HealthCare Inc. is seeking a Manager of Payer Contracting and Reimbursement to lead the development, negotiation, and ongoing management of payer contracts for home health and hospice services.

The role reports to the Senior Director of Sales and collaborates with Finance, Revenue Cycle, Operations, Clinical Leadership, and Executive Leadership. Ideal candidate has 5+ years in payer contracting, strong financial analysis, and excellent negotiation skills.