Value-Based Payer Contract Lead

100 Albany Med Health System; Broadway (VA); On-site; USD 77,000 - 119,000; Full time

Job summary

Albany Med Health System is seeking a Contract Administrator, System Value Based Initiatives, to lead data-driven contracting efforts across AMHS and affiliated hospitals. You will develop payer strategies, analyze economic and risk data, and support negotiations with commercial and governmental payers.

This role requires building cross-functional relationships, preparing proposals, and delivering routine reporting on contract performance.

Qualifications

• Bachelor's degree in Business and/or Health Care Administration (required).
• Master's degree in Business and/or Health Care Administration preferred.
• 4-6 years in managed care negotiations and managed care network operations required; 1-3 years leading complex payer negotiations and mediation desired.

Responsibilities

• Negotiate contract parameters and methodologies with payers.
• Prepare contract proposals, presentations, and reviews for internal approvals.
• Coordinate input across Practice and Hospital Administration, Billing, Finance and other departments.
• Develop reporting instruments and monitor contract performance and profitability.
• Ensure compliance with contract provisions and mediate disputes to resolution.
• Monitor renewal dates and provide timely contract analyses with Finance.

Skills

Payer negotiations

Contract analysis

Stakeholder negotiations

Data analysis

Education

Bachelor's Degree in Business and/or Health Care Administration

Master's Degree in Business and/or Health Care Administration

Tools

Excel

Job description

Albany Med Health System is seeking a Contract Administrator, System Value Based Initiatives, to lead data-driven contracting efforts across AMHS and affiliated hospitals. You will develop payer strategies, analyze economic and risk data, and support negotiations with commercial and governmental payers.

This role requires building cross-functional relationships, preparing proposals, and delivering routine reporting on contract performance.