Remote Payer Contracting Lead, Transplant Programs

10700 Revenue Cycle Organization; United States; À distance; USD 83 000 - 127 000; Plein temps

Résumé du poste

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program to oversee payer relationships, negotiate complex contracts, and optimize reimbursement strategies across transplant services. This exempt, full-time role may be performed remotely with travel as needed and requires strong leadership of cross-functional teams.

The manager partners with business development and operations to expand transplant outreach, manage contract terms, and ensure regulatory compliance.

Qualifications

• Experience leading and supporting complex negotiations.
• Proven ability to present advanced topics clearly to diverse audiences.
• Demonstrated ability to synthesize data into concise summaries.
• Experience leading teams, including cross-functional teams.
• Mentored teams and caregivers.

Responsabilités

• Manage 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.

Connaissances

Contracting Strategies

Healthcare Contracts

Negotiations

Payer Contracting

Leadership

Risk-based Contracting

Relationship Management

Managed Care

Legal Practices

Mentorship

Description du poste

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program to oversee payer relationships, negotiate complex contracts, and optimize reimbursement strategies across transplant services. This exempt, full-time role may be performed remotely with travel as needed and requires strong leadership of cross-functional teams.

The manager partners with business development and operations to expand transplant outreach, manage contract terms, and ensure regulatory compliance.