Strategic Payer Contracting & Reimbursement Leader

Interim HealthCare Inc.; Morgantown (WV); Sur place; USD 110 000 - 150 000; Plein temps

Avantages offerts par ce poste

Competitive salary

Incentives

Benefits

Résumé du poste

Interim HealthCare Inc. seeks a Manager of Payer Contracting and Reimbursement for its home health and hospice services.

This leadership role leads development, negotiation, and management of payer contracts and serves as the primary liaison with commercial payers, Medicare Advantage, and Medicaid Managed Care. Reports to Senior Director of Sales; collaborates with Finance, Revenue Cycle, Operations, Clinical Leadership, Business Development, and Executive Leadership to support growth and

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Minimum of five years of healthcare payer contracting, managed care, provider relations, reimbursement, or healthcare finance experience.
• Experience negotiating contracts with commercial health plans, Medicare Advantage, and Medicaid Managed Care entities.
• Knowledge of home health, hospice, post-acute care, or related reimbursement models.
• Strong financial analysis, forecasting, and contract evaluation skills.
• Excellent negotiation, communication, and relationship management abilities.
• Experience managing multiple projects and priorities in a fast-paced environment.

Responsabilités

• Lead all payer contract negotiations, renewals, amendments, and terminations.
• Develop and execute contracting strategies designed to improve reimbursement rates, strengthen market position, and support organizational growth objectives.
• Serve as the organization's primary point of contact for payer representatives, provider relations teams, and network managers.
• Establish and maintain strong strategic partnerships with key payer organizations.
• Partner with Revenue Cycle, Billing, Finance, Operations, and Clinical Leadership to ensure successful implementation of payer agreements.
• Support strategic initiatives related to service-line expansion, new market development, and acquisitions.
• Monitor federal, state, and payer-specific regulations affecting reimbursement and managed care contracting.
• Ensure compliance with CMS regulations, Medicare requirements, Medicaid guidelines, and contractual obligations.

Connaissances

Negotiation

Communication

Relationship management

Financial analysis

Forecasting

Contract evaluation

Project management

Formation

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

Description du poste

Interim HealthCare Inc. seeks a Manager of Payer Contracting and Reimbursement for its home health and hospice services.

This leadership role leads development, negotiation, and management of payer contracts and serves as the primary liaison with commercial payers, Medicare Advantage, and Medicaid Managed Care. Reports to Senior Director of Sales; collaborates with Finance, Revenue Cycle, Operations, Clinical Leadership, Business Development, and Executive Leadership to support growth and