Payer Contracts Lead: Strategy & Revenue Integrity

FOCUSPOINT; California (MO); On-site; USD 118,000 - 183,000; Full time

Benefits offered by this job

Bonus

Job summary

FocusPoint Talent Solutions Confidential Healthcare Client in Los Angeles, CA seeks a Manager, Payer Contracts to lead payer strategy, contract negotiations, and revenue integrity. This on-site role reports to senior operations and partners with Finance and Revenue Cycle to optimize reimbursement and contract outcomes.

The successful candidate will manage lifecycle negotiations, model financial terms, oversee staff, and ensure compliance with payer requirements.

Qualifications

• Bachelor's degree in business, finance, economics, or healthcare preferred.
• 7+ years in hospital/healthcare insurance with payer contracting responsibilities.
• Expertise in payer contract negotiation, administration, and financial analysis.
• Advanced Excel skills with modeling and complex formulas.
• Experience with hospital billing systems and financial reporting tools.
• Strong communication, analytical, and problem-solving skills.
• Ability to lead teams and drive measurable outcomes.

Responsibilities

• Serve as the primary liaison for payer contracting, negotiations, and issue resolution.
• Develop negotiation strategies, contract language recommendations, and financial terms aligned with organizational goals.
• Conduct financial modeling, reimbursement analysis, and “what if” scenario modeling to support contract decisions.
• Maintain and manage all payer agreements, amendments, renewal timelines, and contract files.
• Oversee implementation of contract terms within internal systems and validate accuracy.
• Ensure compliance with payer requirements, including annual updates and price transparency obligations.
• Maintain payer scorecards and performance dashboards to support renegotiation and financial planning.
• Lead denial management operations, ensuring denials are tracked, trended, appealed, and resolved effectively.
• Collaborate with revenue producing departments to ensure accurate daily charging and timely correction of discrepancies.
• Supervise and develop the Contract Analyst and other assigned staff.
• Communicate payer policies, updates, and contract changes to internal stakeholders.

Skills

Payer contract negotiation

Financial analysis

Advanced Excel

Leadership

Education

Bachelor's degree

Master's degree (preferred)

Tools

Hospital billing systems

Financial reporting tools

Job description

FocusPoint Talent Solutions Confidential Healthcare Client in Los Angeles, CA seeks a Manager, Payer Contracts to lead payer strategy, contract negotiations, and revenue integrity. This on-site role reports to senior operations and partners with Finance and Revenue Cycle to optimize reimbursement and contract outcomes.

The successful candidate will manage lifecycle negotiations, model financial terms, oversee staff, and ensure compliance with payer requirements.