Payor Contract Manager - Remote

AMEDISYS HOME HEALTH; Bartlett (TN); On-site; USD 80,000 - 112,000; Full time

Benefits offered by this job

Full benefits package

401k with a match

Wellness rewards program

Free healthcare services

Mental health support

Infertility coverage and parentalleave

Paid time off and holidays

Job summary

Amedisys is seeking a Payor Contract Manager to lead contracting initiatives across markets, collaborating with the director and payor contracting team to drive regional goals. This role includes overseeing rate logic, contract language, and related business requirements to optimize portfolio strategies within home health and hospice services.

The position emphasizes market research, vendor/payor relationship management, and due diligence for new contracts, with opportunities for impact across

Qualifications

• Bachelor's degree in business or related field.
• Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system.

Responsibilities

• Responsible for achieving prioritized contracting targets for market.
• Collaborates with director and payor contracting to achieve regional/market goals and contract targets.
• Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.
• Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.
• Completes contracting efforts associated with addition/termination of locations/markets.
• Reviews, vets, and prioritizes requests for new contracts.
• Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.
• Conducts market research to proactively identify risks/opportunities to inform market strategies.
• Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.
• Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.
• Performs other duties as assigned.

Education

Bachelor's degree in business or related field

Job description

Overview

Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

Overview

Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

Attractive pay

• $80 - $112K
• Bonus eligible

Enjoy Many Perks And Benefits

• A full benefits package (with affordable health insurance options.)
• 401k with a match.
• Up to $500 in wellness rewards and up to $1,200 in free healthcare services paid for by Amedisys yearly.
• Mental health support.
• Infertility coverage, adoption reimbursement and paid parental leave.
• Paid time off and paid holidays.
• And more.

Don't just take it from us

"After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous."- Amedisys employee

Why Amedisys

Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve.

Responsibilities

• Responsible for achieving prioritized contracting targets for market.
• Collaborates with director and payor contracting to achieve regional/market goals and contract targets.
• Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.
• Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.
• Completes contracting efforts associated with addition/termination of locations/markets.
• Reviews, vets, and prioritizes requests for new contracts.
• Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.
• Conducts market research to proactively identify risks/opportunities to inform market strategies.
• Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.
• Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.
• Performs other duties as assigned.

Qualifications

Requirements

• Bachelor's degree in business or related field.
• Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system.

Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.