Payor Contract Manager

Metro Physical & Aquatic Therapy; United States; Remote; USD 126,000 - 179,000; Full time

Job summary

An innovative healthcare company is seeking a Payor Contract Manager to oversee contract negotiations and build relationships with payors. This remote position offers a unique opportunity to contribute to a fast-growing organization dedicated to enhancing patient care. The ideal candidate will have a strong background in healthcare contracting, exceptional analytical skills, and a passion for fostering collaborative partnerships. Join a team that values your expertise and is committed to making a meaningful impact in the healthcare industry.

Benefits

401(k) with company match

Flexible Spending

Free Life Insurance

NY 529 College Savings Program

Employee discount programs

Qualifications

• 3-5 years of healthcare contracting experience preferred.
• Strong understanding of healthcare reimbursement models.

Responsibilities

• Lead contract negotiations with healthcare payors.
• Build and sustain relationships with payor organizations.

Skills

Healthcare Contracting

Negotiation Skills

Analytical Skills

Communication Skills

Relationship Management

Education

Bachelor’s Degree in Business/Finance/Math/Healthcare Administration

Tools

Microsoft Office

Contract Lifecycle Management (CLM) Software

Job description

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Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring our team to create an everlasting bond with our patients, our doctors, and our community. But it’s not just what we do, it’s who we are. We are driven by our mission to continually invest in our people and offer the best workplace environment possible.

About The Role

eMetro PT is looking for an experienced Payor Contract Manager to join our team! This position will be responsible for managing the contracting life cycle, including but not limited to: the negotiation and execution of contracts with payors, building & maintaining payor relationships and delivering competitive rates. This position is 100% remote eligible!

If you’re a self-starter who enjoys working in a collaborative environment where you’ll have the opportunity to make an impact on a fast-growing healthcare company, we want to hear from you!

Role & Responsibilities

• Lead contract negotiations and executions with healthcare payors, ensuring optimal terms and reimbursement rates.
• Build and sustain strong relationships with payor organizations to ensure alignment with the company’s strategic goals.
• Analyze payor contracts and reimbursement models to identify opportunities for improvement and optimization.
• Collaborate with internal stakeholders, to ensure contract terms align with regulatory requirements and organizational objectives.
• Monitor payor performance based on contractual obligations and key performance indicators, addressing any discrepancies or issues proactively.
• Stay current on industry trends, regulatory updates, and best practices in healthcare regulations, and incorporate this knowledge into contract strategies and negotiations.
• Offer guidance and support to team members engaged in contract management and negotiation processes.

Requirements

• Bachelor’s Degree in Business/Finance/Math/Healthcare Administration preferred, or Equivalent work experience required.
• At least 3-5 years of healthcare contracting experience, preferably in the physical therapy space.
• Comprehensive understanding of healthcare reimbursement models and payor contract terms, including adjusted/unadjusted Medicare fee schedules, Per Visit Rate, Value Based, Bundle, Fee for Service, etc.
• Proven success in negotiating contracts with healthcare payors, securing favorable outcomes for the organization.
• Strong analytical skills, with the ability to interpret complex contract terms and financial data.
• Excellent written & verbal communication and interpersonal abilities, capable of building relationships and influencing stakeholders at all organizational levels.
• Highly detail-oriented and organized, with the capacity to manage multiple projects and priorities efficiently.
• Experience integrating new acquisitions & working with IPA’s.
• Knowledge of healthcare regulatory standards and compliance requirements.
• Advanced Microsoft & CLM software experience a plus.
• Highly prefer experience & established relationships with payors in the following markets: New York/Long Island & NYC/Burroughs, CT, RI and FL.

What We Offer!

• 401(k) with company match
• Flexible Spending
• Free Life Insurance
• NY 529 College Savings Program
• Employee discount programs
• And much more!

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other and Analyst

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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