Senior Payer Strategy & Contracting Leader

CenterWell Home Health; Montana; Remote; USD 139,000 - 191,000; Full time

Job summary

CenterWell Home Health is seeking a Provider Contracting Principal to develop and execute payer strategies, lead contract negotiations, and manage payer relationships across national and local markets. The role will align payer initiatives with enterprise goals, drive financial performance, and coordinate with Sales, Finance, Operations, and Compliance to implement agreements.

The position requires a Bachelor’s degree and 5+ years in managed care or payer contracting, with strong analytical and

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field.
• Five or more years of experience in managed care, payer contracting, provider relations, payer account management, healthcare finance, business development or healthcare operations.
• Demonstrated experience interpreting payer agreements and reimbursement structures and leading contract negotiations.
• Strong analytical, negotiation, problem-solving, stakeholder management and executive communication skills.

Responsibilities

• Develop and execute payer-specific and market-specific action plans aligned with enterprise payer strategy, growth priorities, and operational capacity.
• Lead the development, negotiation, renewal, and amendment of assigned national, regional, state and local payer agreements within delegated authority and established governance requirements.
• Translate contractual requirements into clear operational expectations for referral intake, authorizations, clinical operations, billing, reimbursement and revenue cycle.
• Lead cross-functional collaboration across Operations, Sales, Finance, Revenue Cycle, Clinical, Legal, Compliance, Business Development and other stakeholders throughout the contract lifecycle.
• Prepare concise business cases, recommendations and decision materials for established contracting and payer governance forums.

Education

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

Job description

CenterWell Home Health is seeking a Provider Contracting Principal to develop and execute payer strategies, lead contract negotiations, and manage payer relationships across national and local markets. The role will align payer initiatives with enterprise goals, drive financial performance, and coordinate with Sales, Finance, Operations, and Compliance to implement agreements.

The position requires a Bachelor’s degree and 5+ years in managed care or payer contracting, with strong analytical and