Remote Payer Contracting Manager, Transplant Programs

Intermountain Healthcare Inc.; Helena (MT); Remote; USD 55,000 - 96,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation bonus

AP4P performance plan

Job summary

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program. This role leads strategic payer and specialty network relationships, focusing on transplant reimbursement, complex negotiations, and contract optimization.

Remote work with travel as needed, with potential onsite interviews and meetings. The role requires expertise in contract language, rate methodologies, and cross-functional collaboration across finance, legal, and compliance, plus leadership of the

Qualifications

• Experience in payer relationships management and contract negotiations.
• Knowledge of reimbursement models and rates in healthcare.
• Ability to lead cross-functional teams and mentor staff.

Responsibilities

• Manages all aspects of assigned payer relationships, including contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintains ongoing expertise of all assigned contracts, including language, rates, methodologies, and providers/facilities.
• Ensures contract language, documentation, negotiation, payment rate, and contract storage align with standard practices.
• Coordinates with Finance and Revenue Cycle leadership for risk-based contracting and proactive care strategies.
• Coordinates with Legal and Compliance for regulatory compliance and language consistency.
• Provides leadership and mentorship to Payer Contracting Managers.
• Experience negotiating complex payer agreements and transplant center arrangements with high acuity reimbursement.

Skills

Payer contracting

Contract negotiation

Reimbursement knowledge

Leadership

Tools

Microsoft Teams

Job description

Intermountain Health is seeking a Payer Contracting Manager for the Transplant Program. This role leads strategic payer and specialty network relationships, focusing on transplant reimbursement, complex negotiations, and contract optimization.

Remote work with travel as needed, with potential onsite interviews and meetings. The role requires expertise in contract language, rate methodologies, and cross-functional collaboration across finance, legal, and compliance, plus leadership of the