Manager, Payor Relations

Adaptive Home Health

. Own the organization's relationships with commercial and government health plans .

Posted 10/6/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in payer relations and managed care contracting, with a strong focus on negotiation, financial analysis, and performance monitoring. Capable of driving process improvements and delivering effective communication across teams to enhance contract outcomes and resolve payment issues.

Highest-signal resume keywords

Payer RelationsManaged Care ContractingFinancial AnalysisNegotiation SkillsProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement MethodsClaims WorkflowsContract ManagementClaims AnalysisRevenue Cycle Reporting

Soft Skills

Relationship ManagementAnalytical Skills

Industry Keywords

Healthcare AdministrationMedicare Advantage ContractsCredentialingEnrollmentValue-Based Payment Arrangements

About the role

Key responsibilities & impact

Own the organization's relationships with commercial and government health plans
Serve as the primary relationship owner and escalation contact for assigned health plans
Support contract negotiations and renewals by analyzing rates, terms, volume, and financial impact
Track renewal dates, notice deadlines, and rate changes
Partner with revenue cycle to resolve recurring denials, underpayments, payment delays, and authorization issues
Drive process changes that prevent recurring payment and authorization problems
Monitor payer performance, including contract compliance, denial rates, accounts receivable aging, and escalation trends
Report payer performance findings and recommendations to leadership
Evaluate network participation opportunities and payer changes affecting patient access or financial performance
Coordinate with credentialing and enrollment on participation issues
Coordinate with legal and compliance on contract language and disputes
Communicate material payer policy and contract changes to affected teams
Deliver strong renewal outcomes, timely escalation resolution, fewer recurring denials and underpayments, faster payments, and accurate payer performance reporting

Requirements

What you’ll need

Bachelor's degree in healthcare administration, business, finance, or a related field, or equivalent experience
3+ years in payer relations, managed care contracting, revenue cycle, or reimbursement analysis, including direct work with health plans on contract, claims, or payment issues
Working knowledge of reimbursement methods, payer contracts, claims workflows, and the drivers of denials and underpayments
Ability to analyze financial and operational data and turn it into clear, practical recommendations
Strong negotiation, relationship management, and project management skills
Direct experience negotiating or implementing commercial and Medicare Advantage contracts
Familiarity with credentialing, enrollment, and value-based payment arrangements
Experience with contract management, claims analysis, or revenue cycle reporting tools
Legally authorized to work in the United States

Benefits

Comp & perks

Competitive salary and equity compensation
Comprehensive health insurance, dental, and commuter benefits
401(k) retirement plan with employer contribution
Flexible time off policy — we expect most employees to take at least 3 weeks of vacation per year
Opportunity for growth in a fast-growing company
Collaborative team valuing innovation and problem-solving