Remote Payer Contracting Lead - Transplant Programs

Intermountain Healthcare Inc.

City of Albany (NY)

Remote

USD 82,000 - 127,000

Full time

2 days ago
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Benefits offered by this job

Sign-on bonus
Relocation bonus

Job summary

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program to lead strategic payer relationships, drive contract negotiations, and optimize reimbursement across transplant networks. The role partners with business development and operations to expand outreach and strengthen referrals.

You will manage contract language, rates, and methodologies while coordinating with Finance, Legal, and Compliance to ensure accuracy and regulatory alignment.

Qualifications

  • Experience leading and supporting complex negotiations.
  • Effective verbal and written communication to present advanced topics clearly.
  • Ability to synthesize large data sets into concise summaries without losing details.
  • Experience leading cross-functional teams.
  • Mentoring teams and caregivers.

Responsibilities

  • Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
  • Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
  • Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
  • Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.
  • Establishes and maintains effective long-term relationships with highly aligned payers.
  • Coordinates with Finance and Revenue Cycle leadership for the implementation of risk-based contracting, and proactive care, strategies and initiatives.
  • Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.
  • Provides leadership and mentorship to Payer Contracting Managers.

Skills

Contracting strategies
Healthcare contracts
Negotiations
Payer contracting
Proactive care
Risk-based contracting
Relationship management
Managed care
Legal practices
Leadership

Job description

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program to lead strategic payer relationships, drive contract negotiations, and optimize reimbursement across transplant networks. The role partners with business development and operations to expand outreach and strengthen referrals.

You will manage contract language, rates, and methodologies while coordinating with Finance, Legal, and Compliance to ensure accuracy and regulatory alignment.

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