Senior Hybrid Payer Contracting Strategist

Us Oncology Inc; New Providence (NJ); Hybrid; USD 90,000 - 125,000; Full time

Benefits offered by this job

Hybrid role with travel

Job summary

PRISM Vision Group seeks a Senior Contracting Specialist to independently manage payer contracting initiatives across multiple states, including negotiating with commercial payers and Medicare Advantage. You will provide data-supported recommendations, analyze rates, and ensure timely implementation of agreements.

You will partner with revenue cycle, credentialing, finance, analytics, operations, legal and leadership to drive favorable terms while maintaining compliance and provider

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field preferred.
• At least 5 years of progressive experience in healthcare payer contracting, managed care, reimbursement strategy, or provider-payer relations.
• Demonstrated ability to analyze fee schedules, reimbursement methodologies, utilization, and contract economics.
• Experience with commercial, Medicare Advantage, and Medicaid contracting; physician groups or ASC experience preferred.

Responsibilities

• Lead assigned negotiations and renewals with commercial, Medicare Advantage, Medicaid, and other payers.
• Develop payer-specific negotiation plans, rate targets, financial scenarios, and issue lists.
• Review and negotiate reimbursement provisions, fee schedules, escalators, effective dates, and termination rights.
• Coordinate new payer participation, renegotiations, and amendments.
• Maintain negotiation trackers, milestones, and complete executed agreements.
• Collaborate with finance and analytics to validate assumptions and develop rate models.
• Monitor payer compliance and post-implementation performance; escalate material risks.
• Prepare executive-ready analyses and status reports on pipelines and financial impact.

Skills

Payer contracting

Negotiation

Data analysis

Excel

Education

Bachelor’s degree

Tools

Excel

Job description

PRISM Vision Group seeks a Senior Contracting Specialist to independently manage payer contracting initiatives across multiple states, including negotiating with commercial payers and Medicare Advantage. You will provide data-supported recommendations, analyze rates, and ensure timely implementation of agreements.

You will partner with revenue cycle, credentialing, finance, analytics, operations, legal and leadership to drive favorable terms while maintaining compliance and provider