Remote Payer Strategy & Contracting Lead

CenterWell Home Health; Washington; À distance; USD 139 000 - 191 000; Plein temps

Résumé du poste

CenterWell Home Health seeks a Provider Contracting Principal to lead payer strategy, contract negotiations, and cross-functional implementation. You will drive financial performance and access by structuring favorable national, regional, state and local payer agreements.

Responsibilities include translating enterprise strategies into market execution, managing relationships, and delivering measurable value across Medicare Advantage, Commercial, and value-based models.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or related field.
• Five+ years of experience in managed care, payer contracting, provider relations, payer account management, healthcare finance or operations.
• Experience interpreting payer agreements and reimbursement structures; leading contract negotiations.
• Strong financial acumen and ability to evaluate reimbursement methodologies, contract economics, and business cases.

Responsabilités

• Develop and execute payer-specific and market-specific action plans aligned with enterprise payer strategy and growth priorities.
• Lead the development, negotiation, renewal, and amendment of payer agreements within delegated authority.
• Translate contractual requirements into operational expectations for referrals, authorizations, billing and revenue cycle.
• Serve as primary contact for assigned payer relationships and conduct regular business reviews.
• Monitor contract performance and identify opportunities to improve reimbursement, access, volume, and financial outcomes.
• Lead cross-functional collaboration across Operations, Sales, Finance, Revenue Cycle, Clinical, Legal, Compliance and others.

Connaissances

Negotiation

Analytical thinking

Executive communication

Stakeholder management

Formation

Bachelor's degree in Business or Healthcare Administration

Outils

Contract management knowledge

Description du poste

CenterWell Home Health seeks a Provider Contracting Principal to lead payer strategy, contract negotiations, and cross-functional implementation. You will drive financial performance and access by structuring favorable national, regional, state and local payer agreements.

Responsibilities include translating enterprise strategies into market execution, managing relationships, and delivering measurable value across Medicare Advantage, Commercial, and value-based models.