Payor Contract Manager

MaineHealth; Portland (ME); On-site; USD 83,000 - 113,000; Full time

Benefits offered by this job

Paid parental leave

Flexible work options

Student loan assistance

Professional development opportunities

Job summary

MaineHealth Corporate seeks a Contract Manager to lead the development, implementation and ongoing management of payer contracts across MaineHealth and the MaineHealth Accountable Care Organization (MHACO).

The role drives optimal reimbursement, strengthens relationships with payers, and collaborates with internal stakeholders to support the system's financial and operational objectives.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred.
• Minimum 5 years of experience in managed care contracting, provider relations, or payer relations within a hospital system, physician organization, or health plan.
• Strong understanding of healthcare reimbursement methodologies (e.g., DRG, APC, fee-for-service, value-based care). Demonstrated experience in negotiating and managing complex payer contracts.

Responsibilities

• Develop, implement and manage commercial fee-for-service and value-based payer contracts across MaineHealth and MHACO.
• Support optimal reimbursement and competitive positioning through contract analysis and negotiation.
• Collaborate with internal stakeholders and external partners to align payer relations with financial and operational objectives.

Skills

Healthcare reimbursement

Contract negotiation

Data analysis

Education

Bachelor's degree

Job description

Description

MaineHealth Corporate

Management/Leadership
Req #: 93095

Summary:

The Contract Manager is responsible for the development, implementation and ongoing management of commercial fee for service and value-based payer contracts across MaineHealth, and the MaineHealth Accountable Care Organization (MHACO). This role is critical in supporting optimal reimbursement, maintaining the System's competitive position, and fostering strong relationships with payer organizations. The Contract Manager will work collaboratively with internal stakeholders and external partners to support the financial and operational objectives of the System and its affiliates as it relates to Payer Relations activities.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred.
2. License/Certifications: N/A
3. Experience: Minimum 5 years of experience in managed care contracting, provider relations, or payer relations within a hospital system, physician organization, or health plan.
4. Additional Skills/Requirements Required: Strong understanding of healthcare reimbursement methodologies (e.g., DRG, APC, fee-for-service, value-based care). Demonstrated experience in negotiating and managing complex payer contracts. Excellent analytical and problem-solving skills with the ability to interpret and present financial and operational data.

Additional Information

• We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.
• In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $83,324.80to $112,736.00per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

If you have questions about this role, please contact [e-mail]

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [e-mail].

Notice Regarding Maine Employer Surveillance Statute:

Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.