Senior Payer Contracting Strategist

Beacon Behavioral Partners; United States; On-site; USD 120,000 - 190,000; Full time

Job summary

Beacon Behavioral Health seeks an experienced Payer Contracting Sr Manager to grow reimbursement for existing service lines. This leader will negotiate increases across commercial, Medicare Advantage, and Medicaid plans and manage a calendar of renegotiations.

The role requires strong analytics, payer relationships, and the ability to sequence negotiations for efficient outcomes. It reports to RCM leadership and collaborates across IT, Credentialing, and Legal to implement updated rates.

Qualifications

• 5+ years of payer contracting or managed care experience negotiating provider reimbursement.
• Proven history of negotiating and executing rate increases with measurable revenue results.
• Established relationships with payer network management contacts; experience in Beacon's geographic markets is helpful.

Responsibilities

• Lead rate renegotiations with commercial, Medicare Advantage, and Medicaid managed care plans from proposal to executed agreement.
• Build and maintain an annual renegotiation calendar for all practices, prioritizing by revenue opportunity and renewal dates.
• Analyze payer mix, utilization, and reimbursement data to identify opportunities and craft data-driven strategies.
• Benchmark Beacon's rates against Medicare and market data to support negotiations.
• Manage health plan follow-up to keep negotiations on schedule and escalate stalled discussions.
• Review contract language and terms with Legal to flag risks and propose improvements.
• Maintain relationships with health plan network management and contracting leaders to expedite negotiations.
• Report to clinical stakeholders and physician leadership on contract status and performance.
• Coordinate rate implementation with Revenue Cycle Management and IT to ensure accurate fee schedules and payments.
• Collaborate with operations to add newly acquired entities to negotiations and strategic plans.
• Report contracting metrics and revenue changes to Beacon leadership.

Skills

Negotiation

Payer contracting

Relationship management

Data analysis

Financial modeling

Excel

Communication

Travel readiness

Education

Bachelor's degree in business, healthcare administration, finance, or related field

Tools

Excel

Contract management systems

AI tools

Microsoft Office

Job description

Beacon Behavioral Health seeks an experienced Payer Contracting Sr Manager to grow reimbursement for existing service lines. This leader will negotiate increases across commercial, Medicare Advantage, and Medicaid plans and manage a calendar of renegotiations.

The role requires strong analytics, payer relationships, and the ability to sequence negotiations for efficient outcomes. It reports to RCM leadership and collaborates across IT, Credentialing, and Legal to implement updated rates.