Payer Relations & Reimbursement Manager

Graceworks Lutheran Services; Neosho (MO); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health Insurance

Vision Insurance

401(k)

Paid Time Off

Paid Holidays

Job summary

Graceworks Lutheran Services is seeking a Payer Relations & Reimbursement Manager to lead payer contracting, reimbursement strategy, and financial analysis efforts. This role will negotiate and manage contracts with commercial insurers, Medicaid Managed Care Organizations, Medicare Advantage plans, and other third-party payers while optimizing reimbursement and supporting organizational growth.

Join a mission-driven organization dedicated to delivering accessible, high-quality healthcare

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, Accounting, Public Health, or related field required.
• 5+ years of experience in healthcare reimbursement, payer relations, managed care contracting, revenue cycle, or healthcare finance.
• Strong financial analysis, contract negotiation, and healthcare reimbursement knowledge.

Responsibilities

• Negotiate and manage payer contracts.
• Analyze reimbursement models and contract profitability.
• Monitor payer performance and resolve payment issues.
• Develop strategic recommendations to maximize revenue and improve contract performance.
• Collaborate with Finance, Revenue Cycle, Billing, and Operational leaders.

Skills

Payer contracting

Contract negotiation

Financial analysis

Revenue cycle

Healthcare reimbursement

Medicaid Managed Care

Medicare Advantage

Education

Bachelor's degree in Healthcare Administration, Finance, Business Administration, Accounting, Public Health, or related field

Job description

Location: Corporate Office (In Office)
Schedule: Monday-Friday, 8:00 AM-5:00 PM
Status: Full-Time, Exempt

Benefits: Health Insurance, Vision Insurance, 401(k), Paid Time Off, and Paid Holidays.

Access Family Care is seeking a Payer Relations & Reimbursement Manager to lead payer contracting, reimbursement strategy, and financial analysis efforts. This role will negotiate and manage contracts with commercial insurers, Medicaid Managed Care Organizations, Medicare Advantage plans, and other third-party payers while optimizing reimbursement and supporting organizational growth.

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, Accounting, Public Health, or related field required.
• 5+ years of experience in healthcare reimbursement, payer relations, managed care contracting, revenue cycle, or healthcare finance.
• Strong financial analysis, contract negotiation, and healthcare reimbursement knowledge.
• Experience with Medicaid Managed Care and Medicare Advantage plans preferred.

Key Responsibilities

• Negotiate and manage payer contracts.
• Analyze reimbursement models and contract profitability.
• Monitor payer performance and resolve payment issues.
• Develop strategic recommendations to maximize revenue and improve contract performance.
• Collaborate with Finance, Revenue Cycle, Billing, and Operational leaders.

Join a mission-driven organization dedicated to providing compassionate, accessible, and excellent healthcare services to our communities.