Remote Payer Contract Strategy Lead

Care Options for Kids; Chicago (IL); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Paid time off

Medical, dental, and vision

401K

Job summary

Care Options For Kids is seeking a Contract Manager to negotiate, implement, and manage payer agreements supporting clinical operations and financial objectives. You will collaborate with executive leadership, revenue cycle, operations, and legal to ensure contracts meet regulatory requirements and reimbursement targets.

Ideal candidates have healthcare contracting experience, strong negotiation skills, and familiarity with home health or pediatric services.

Qualifications

• Bachelor’s degree in business, healthcare administration, finance, or related field.
• 5+ years in healthcare payer contracting or managed care negotiations.
• Proven experience negotiating commercial and/or Medicaid contracts.
• Strong understanding of healthcare reimbursement methodologies.
• Excellent negotiation, communication, and interpersonal skills.
• Ability to work independently in a fast-paced environment.

Responsibilities

• Lead negotiations with payers at regional and national levels.
• Review and manage payer agreements, terms, performance requirements, and termination clauses.
• Collaborate with revenue cycle, billing, authorization, and finance to address requirements and reimbursement issues.
• Monitor payer performance, reimbursement trends, and market benchmarks.

Skills

Negotiation

Communication

Interpersonal skills

Independent work

Contracting knowledge

Education

Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field

Job description

Care Options For Kids is seeking a Contract Manager to negotiate, implement, and manage payer agreements supporting clinical operations and financial objectives. You will collaborate with executive leadership, revenue cycle, operations, and legal to ensure contracts meet regulatory requirements and reimbursement targets.

Ideal candidates have healthcare contracting experience, strong negotiation skills, and familiarity with home health or pediatric services.