Remote Transplant Payer Contracts Lead

Intermountain Healthcare Inc.; Colorado Springs (CO); Remote; USD 83,000 - 124,000; Full time

Job summary

Intermountain Health is seeking a Payer Contracting Manager, Transplant Program to strategically manage payer and specialty network relationships supporting transplant services. The role requires expertise in transplant reimbursement, network contracting, and complex negotiations to expand outreach and drive program growth.

This remote-based position may require travel and on-site interviews; compensation includes potential sign-on/relocation bonuses and participation in AP4P.

Qualifications

• Experience negotiating complex payer agreements, transplant center of excellence arrangements, and other advanced reimbursement models.
• Strong understanding of case rates, bundled payments, carve-out agreements, and high-acuity service reimbursement.

Responsibilities

• Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
• Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
• Coordinates with Finance and Revenue Cycle leadership for the implementation of risk-based contracting, and proactive care strategies and initiatives.
• Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.
• Provides leadership and mentorship to Payer Contracting Managers.

Skills

Negotiation

Healthcare contracting

Payer contracting

Leadership

Communication

Job description

Intermountain Health is seeking a Payer Contracting Manager, Transplant Program to strategically manage payer and specialty network relationships supporting transplant services. The role requires expertise in transplant reimbursement, network contracting, and complex negotiations to expand outreach and drive program growth.

This remote-based position may require travel and on-site interviews; compensation includes potential sign-on/relocation bonuses and participation in AP4P.