Senior Payer Contracting Strategist

VENTRA Health; United States; À distance; USD 90 000 - 130 000; Plein temps

Avantages offerts par ce poste

Performance-based incentive plan

Referral bonus

Rewards & Recognition program

Résumé du poste

Ventra Health is seeking a Senior Contracting Specialist to drive payer negotiations, contract analysis, and documentation for a portfolio of provider clients. This role requires hands-on experience in managed care contracting and strong cross-functional collaboration with Legal, Finance, and Revenue Cycle teams.

You will lead negotiations, prepare rate benchmarks, and help optimize contract terms to improve reimbursement outcomes while mentoring junior staff and ensuring client satisfaction.

Qualifications

• 5+ years of experience in managed care/payer contracting, on payer or provider side
• Experience negotiating payer agreements and interpreting contract language
• Knowledge of reimbursement methodologies including FFS, RBRVS, capitation, and value-based arrangements

Responsabilités

• Lead contract negotiations with payers across FFS and value-based models
• Develop rate benchmarking and financial impact summaries
• Identify rate optimization opportunities and contract structures
• Review payer contract language across contexts and maintain up-to-date documentation
• Mentor junior staff on contract interpretation and negotiation best practices
• Partner with Revenue Cycle, AR, and Billing to operationalize contract terms
• Support translation of clinical program details into reimbursable terms
• Collaborate with Legal, Finance, and Client Success on contract matters
• Maintain relationships with payer contacts and participate in client meetings

Connaissances

Negotiation

Contract management

Excel

Client communication

AI tools

Formation

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

Outils

Ironclad

Project management tools

Description du poste

Ventra Health is seeking a Senior Contracting Specialist to drive payer negotiations, contract analysis, and documentation for a portfolio of provider clients. This role requires hands-on experience in managed care contracting and strong cross-functional collaboration with Legal, Finance, and Revenue Cycle teams.

You will lead negotiations, prepare rate benchmarks, and help optimize contract terms to improve reimbursement outcomes while mentoring junior staff and ensuring client satisfaction.