Senior Payer Contracting & Provider Enrollment Manager

Akron Children's Hospital; Akron (OH); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Akron Children's Hospital is seeking a Manager for Payer Contracting and Provider Enrollment to lead negotiations and oversee the Provider Enrollment team. This role involves managing strategic initiatives related to contract development across payers, including Medicaid and Medicare Advantage.

The ideal candidate will have a Bachelor’s degree and at least 5 years of experience in healthcare contracting, particularly in a pediatric context. Strong leadership and analytical skills are essential for success in this hybrid position.

Qualifications

• Minimum of 5 years in healthcare contracting or managed care.
• Experience in a children's hospital or pediatric-focused environment preferred.
• 2 years of supervisory experience.

Responsibilities

• Lead preparation for payer contract negotiations.
• Coordinate complex financial modeling and analyses.
• Draft and review contract language and methodologies.
• Maintain oversight of contract documentation and timelines.
• Supervise and manage Provider Enrollment staff.

Skills

Advanced knowledge of managed care contracting principles

Understanding of pediatric healthcare challenges

Strong analytical and strategic thinking skills

Effective written and verbal communication skills

Excellent organizational and project coordination skills

Strong leadership and people-management skills

Education

Bachelor's degree in Business, Finance, Healthcare Administration, or related field

Job description

Akron Children's Hospital is seeking a Manager for Payer Contracting and Provider Enrollment to lead negotiations and oversee the Provider Enrollment team. This role involves managing strategic initiatives related to contract development across payers, including Medicaid and Medicare Advantage.

The ideal candidate will have a Bachelor’s degree and at least 5 years of experience in healthcare contracting, particularly in a pediatric context. Strong leadership and analytical skills are essential for success in this hybrid position.