Remote Payer Strategy & Contracting Lead

CenterWell Home Health; United States; Remote; USD 139,000 - 191,000; Full time

Job summary

CenterWell Home Health is seeking a Provider Contracting Principal to drive payer strategy, negotiations, and market execution for a national, regional and local payer portfolio. You will align enterprise priorities with operations, sales, finance and clinical teams to secure financially viable, executable agreements that improve reimbursement, access and patient care.

The role leads cross-functional implementation, analyzes performance, and updates stakeholders on contract outcomes, risks and

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field.
• Five or more years of experience in managed care, payer contracting, provider relations, payer account management, healthcare finance, business development or healthcare operations.
• Demonstrated experience interpreting payer agreements and reimbursement structures and leading contract negotiations.
• Strong financial acumen and demonstrated ability to evaluate reimbursement methodologies, contract economics, and business cases.
• Strong analytical, negotiation, problem-solving, stakeholder management and executive communication skills.

Responsibilities

• Lead payer strategy development and market-specific action plans.
• Negotiate and renew payer agreements across national, regional, state and local levels.
• Translate contractual requirements into operational workflows and revenue processes.
• Monitor contract performance and identify opportunities to improve reimbursement and access.
• Provide governance-ready business cases and present recommendations to leadership.

Skills

Negotiation

Financial analysis

Stakeholder management

Executive communication

Analytical thinking

Education

Bachelor's degree

Job description

CenterWell Home Health is seeking a Provider Contracting Principal to drive payer strategy, negotiations, and market execution for a national, regional and local payer portfolio. You will align enterprise priorities with operations, sales, finance and clinical teams to secure financially viable, executable agreements that improve reimbursement, access and patient care.

The role leads cross-functional implementation, analyzes performance, and updates stakeholders on contract outcomes, risks and