Payer Relations & Contracting Lead - Remote

Northpoint-Recovery-Holdings,-LL; Meridian (ID); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Subsidized Health Insurance

Employer Paid Life Insurance

Employee Assistance Program

Dental, Vision, STD, Life & AD&D

Pre-tax Savings Accounts

Generous Paid Time Off

Job summary

Northpoint Recovery Holdings, LLC is seeking a Manager of Payer Relations, Contracting & Credentialing to lead payer strategy, contract negotiations, and credentialing oversight as the organization expands across markets. The role reports to the EVP of Revenue Cycle Management and is remote with a Northpoint-wide scope.

The role collaborates with revenue cycle, utilization review, finance, clinical operations, business development, and executive leadership to optimize access, reimbursement, and

Qualifications

• Bachelor’s degree in business administration, health management, or commensurate experience
• Minimum of five (5) years of experience in managed care contracting and provider credentialing
• Minimum of three (3) years of hospital and/or payer negotiation and payer analysis experience
• Knowledge of fee-for-service and/or fee-for-value reimbursement methods, delegated credentialing workflows, and working knowledge of all major payers
• Strong ability to synthesize information, distill takeaways, diagnose problems and propose solutions
• Self-starter; organizes processes and improves existing workflows
• Impeccable attention to detail; documents processes concisely
• Must work well under pressure, manage multiple priorities
• Proficiency with Microsoft Office Suite

Responsibilities

• Serve as the primary operational relationship owner for assigned health plans and payer partners.
• Develop and maintain strategic relationships with payer representatives, network leaders, contracting teams, and other stakeholders.
• Establish a structured payer engagement cadence for Northpoint’s high-impact payer relationships.
• Identify and elevate payer issues affecting patient access, reimbursement, authorization, claims payment, or operational performance.
• Partner with RCM and UR leadership to address recurring payer behaviors and develop resolutions.
• Monitor payer and market developments impacting finances, operations, or access.
• Support payer strategy for new markets, de novo facilities, acquisitions, and expansions.
• Maintain a payer opportunity and escalation pipeline across networks.
• Provide executive-level reporting on payer relationships, negotiations, and material risks.

Skills

Attention to detail

Communication skills

Problem solving

Time management

Microsoft Office

Education

Bachelor’s degree in business administration or health management

Job description

Northpoint Recovery Holdings, LLC is seeking a Manager of Payer Relations, Contracting & Credentialing to lead payer strategy, contract negotiations, and credentialing oversight as the organization expands across markets. The role reports to the EVP of Revenue Cycle Management and is remote with a Northpoint-wide scope.

The role collaborates with revenue cycle, utilization review, finance, clinical operations, business development, and executive leadership to optimize access, reimbursement, and