West Region Payer Relations & Contracting Lead (Remote)

Hologic, Inc.; Natick (MA); On-site; USD 137,400 - 229,100; Full time

Job summary

Hologic, Inc. seeks a Sr. Manager of Payer Relations and Contracting to lead payer account strategy across the western half of the United States.

You will negotiate reimbursement rates, expand in-network contracts for BCI and CTID, and partner with the Market Access team to align payer engagement. Strong leadership, communication, and negotiations are essential. The role requires 8+ years in healthcare, proven payer contracting success, and the ability to manage complex contracts with Medicare,

Qualifications

• 8+ years of healthcare experience in a diagnostic/biotech company, healthcare consulting firm, or health insurance company.
• 5+ years working with Medicare, Medicaid and commercial payers on contracting and network management.
• Strong technical knowledge of payer contracting (negotiations, language review, contract format and structure).
• Proven track-record of successful negotiations with payers.
• Direct experience with or understanding of the health care revenue cycle.

Responsibilities

• Lead contracting strategies with national and regional payers, LBMs, IDNs, IPAs, and state Medicaid plans to maximize contract value and patient access.
• Negotiate optimal reimbursement rates and contract terms to ensure financial sustainability and market competitiveness.
• Cultivate and expand relationships with payer executives and decision-makers to strengthen contract performance.
• Partner with Market Access to align payer engagement strategies and contracting priorities.
• Collaborate with Clinical, Outcomes Research, Marketing, Billing, Finance, Sales, Legal, and Regulatory teams to develop value propositions.
• Proactively manage assigned accounts, identify growth opportunities, and drive access objectives.
• Foster collaboration across internal teams and external stakeholders to advance patient access goals.
• Maintain detailed records of payer interactions and contracting activities for progress monitoring.

Skills

Leadership

Negotiation

Communication

Organization

Payer contracting knowledge

Financial analysis

Strategic relationships

Cross-functional collaboration

Education

Bachelor's Degree

Job description

Hologic, Inc. seeks a Sr. Manager of Payer Relations and Contracting to lead payer account strategy across the western half of the United States.

You will negotiate reimbursement rates, expand in-network contracts for BCI and CTID, and partner with the Market Access team to align payer engagement. Strong leadership, communication, and negotiations are essential. The role requires 8+ years in healthcare, proven payer contracting success, and the ability to manage complex contracts with Medicare,