Senior Payor Contract Manager – Healthcare Partnerships

Amedisys; Bartlett (TN); On-site; USD 80,000 - 112,000; Full time

Benefits offered by this job

Full benefits package

401k with match

Wellness rewards

Paid time off

Job summary

Amedisys, a leading home health and hospice provider, seeks a Payor Contract Manager to drive contracting targets across markets. You will collaborate with the director and payor contracting teams to implement service line strategies and ensure timely contract updates.

The role requires a Bachelor's degree in business and five years in managed care contracting within health care systems. Amedisys offers a comprehensive benefits package and competitive pay in Bartlett, Tennessee.

Qualifications

• Bachelor's degree in business or related field
• Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system

Responsibilities

• Responsible for achieving prioritized contracting targets for market.
• Collaborates with director and payor contracting to achieve regional/market goals and contract targets.
• Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.
• Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.
• Completes contracting efforts associated with addition/termination of locations/markets.
• Reviews, vets, and prioritizes requests for new contracts.
• Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.
• Conducts market research to proactively identify risks/opportunities to inform market strategies.
• Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.
• Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.
• Performs other duties as assigned.

Skills

Contracting experience

Market research

Vendor/payor relationships

Project coordination

Education

Bachelor's degree in business or related field

Job description

Amedisys, a leading home health and hospice provider, seeks a Payor Contract Manager to drive contracting targets across markets. You will collaborate with the director and payor contracting teams to implement service line strategies and ensure timely contract updates.

The role requires a Bachelor's degree in business and five years in managed care contracting within health care systems. Amedisys offers a comprehensive benefits package and competitive pay in Bartlett, Tennessee.