Payor Contract Manager: Shape Market Contracts & Growth

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

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