Remote Payer Strategy & Contracting Leader

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

Résumé du poste

CenterWell Home Health seeks a Provider Contracting Principal to lead payer strategy, negotiate and manage payer agreements, and drive operational and financial performance across a national remote market. You will align payer strategy with enterprise goals and partner with Sales, Finance, Revenue Cycle, Clinical, Legal and Compliance to execute negotiated contracts.

The role requires strong financial acumen, experience in managed care and contract negotiations, and effective leadership across

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field, or equivalent relevant professional experience.
• 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.

Responsabilités

• Lead development, renewal, and amendment of payer agreements within delegated authority with governance.
• Evaluate reimbursement methodologies and contract terms to determine financial and operational structures.
• Partner with Finance and Operations to develop financial analyses, business cases, rate recommendations, and contract feasibility assessments.
• Negotiate reimbursement, operational, administrative, and other material contract provisions with cross-functional teams.
• Coordinate stakeholder reviews, leadership approvals, and milestones; monitor contract performance and renewals.

Connaissances

Payer contracting

Contract negotiations

Financial analysis

Stakeholder management

Executive communication

Formation

Bachelor’s degree in Business/Healthcare administration/Finance

Description du poste

CenterWell Home Health seeks a Provider Contracting Principal to lead payer strategy, negotiate and manage payer agreements, and drive operational and financial performance across a national remote market. You will align payer strategy with enterprise goals and partner with Sales, Finance, Revenue Cycle, Clinical, Legal and Compliance to execute negotiated contracts.

The role requires strong financial acumen, experience in managed care and contract negotiations, and effective leadership across