Remote Payer Contracts Manager – CA

Infusion for Health; Brea (CA); Hybrid; USD 150,000 - 165,000; Full time

Job summary

Infusion for Health in California is seeking a Contracts Manager to lead the full lifecycle of payer agreements, including evaluation, negotiation, implementation, and performance monitoring.

You will partner with Payer Strategy, Revenue Cycle, Finance, Legal, Operations, Credentialing, and Business Development to ensure contracts are financially sustainable and aligned with growth. This is a remote role based in California with limited travel.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or a related field.
• Five or more years of experience in managed care contracting, payer relations, network development, reimbursement, or a related healthcare function.
• Direct experience negotiating and managing contracts with California IPAs and delegated medical groups.
• Established knowledge of California managed care landscape and common IPA contracting structures.
• Experience negotiating and administering agreements with commercial and government-sponsored health plans.

Responsibilities

• Manage the full lifecycle of payer, IPA, and medical group contracts, including initial review, negotiation, execution, implementation, renewal, amendment, and termination.
• Develop and maintain productive relationships with California IPAs, medical groups, health plans, and other payer partners.
• Evaluate reimbursement rates, fee schedules, contract language, and financial terms to assess the overall value and viability of agreements.
• Negotiate reimbursement and contractual terms with commercial health plans, Medicare Advantage plans, Medicaid managed care organizations, IPAs, and delegated medical groups.
• Review and interpret California IPA agreements, including provisions related to delegated risk, divisions of financial responsibility, authorization requirements, claims submission, reimbursement, and dispute resolution.
• Develop contract analyses, reimbursement comparisons, and financial models to support negotiation strategies and leadership decisions.
• Coordinate with Revenue Cycle, Finance, Operations, Credentialing, and other internal partners to ensure new and amended contracts are implemented accurately and on time.
• Translate contract requirements into clear workflows, system configurations, and operational guidance for internal teams.
• Maintain a centralized repository of payer and IPA contracts, amendments, fee schedules, renewal dates, notice requirements, and other key provisions.
• Monitor contract performance and investigate discrepancies between contracted terms and actual reimbursement.
• Support the resolution of issues involving underpayments, denials, authorization requirements, eligibility, claims routing, reimbursement, and contract interpretation.
• Monitor California managed care and payer trends that could affect reimbursement, network participation, or the company’s growth strategy.
• Support contracting activities related to new markets, new service lines, and new infusion center openings.
• Create scalable contracting processes, tools, and reporting practices for a growing organization.

Skills

Contract negotiation

Payer relations

Revenue cycle knowledge

Project management

Education

Bachelor’s degree in healthcare administration, business, finance, or a related field

Advanced degree preferred

Job description

Infusion for Health in California is seeking a Contracts Manager to lead the full lifecycle of payer agreements, including evaluation, negotiation, implementation, and performance monitoring.

You will partner with Payer Strategy, Revenue Cycle, Finance, Legal, Operations, Credentialing, and Business Development to ensure contracts are financially sustainable and aligned with growth. This is a remote role based in California with limited travel.