Remote: Transplant Payer Contracts Lead

Intermountain Healthcare Inc.

Dover (DE)

On-site

EUR 151,535,000 - 233,898,000

Full time

30 hours ago
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Job summary

Intermountain Health is seeking a Payer Contracting Manager, Transplant Program to oversee payer relationships, negotiate contracts, optimize reimbursements, and drive transplant program growth. You will lead cross-functional teams and mentor Payer Contracting staff while aligning with Finance, Legal, and Compliance.

The role offers remote work flexibility with travel as needed, competitive compensation, and eligibility for AP4P performance pay.

Qualifications

  • Experience leading and supporting complex negotiations.
  • Experience in a professional role that requires effective verbal and written communication to present advanced topics clearly and professionally.
  • Demonstrated ability to synthesize extensive data into clear summaries without losing detail.
  • Experience leading teams, including cross-functional teams.
  • Demonstrated experience mentoring teams and caregivers.

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.
  • Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.
  • Establishes and maintains effective long‑term relationships with highly aligned payers.
  • 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

Contracting Strategies
Healthcare Contracts
Negotiations
Payer Contracting
Proactive Care
Risk-based Contracting
Relationship Management
Managed Care
Legal Practices
Leadership

Job description

Intermountain Health is seeking a Payer Contracting Manager, Transplant Program to oversee payer relationships, negotiate contracts, optimize reimbursements, and drive transplant program growth. You will lead cross-functional teams and mentor Payer Contracting staff while aligning with Finance, Legal, and Compliance.

The role offers remote work flexibility with travel as needed, competitive compensation, and eligibility for AP4P performance pay.

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