Manager, Payer Contracting

Brault

. Support negotiation, implementation, and management of payer contracts to ensure optimal reimbursement and compliance .

Posted 11/6/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $75,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer contracting, including negotiation, implementation, and management of contracts with commercial and government payers. Proficient in data analysis, financial reporting, and compliance with regulatory requirements to optimize reimbursement and improve revenue cycle operations.

Highest-signal resume keywords

Payer Contracting NegotiationData Analysis and Financial ReportingRevenue Cycle OperationsHealthcare Payer PoliciesAthena IDX and Payer Contract Modules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract ManagementData AnalysisFinancial ReportingPayer Contract TermsFee SchedulesRegulatory ComplianceUnderpayment AnalysisBilling and CodingContract InterpretationMarket and Healthcare Trends Analysis

Soft Skills

Effective CommunicationRelationship BuildingTeam CollaborationProblem SolvingNegotiation Skills

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft PowerPointMicrosoft WordAdobeLaserficheAthena IDXPayer Price

Industry Keywords

Healthcare Payer ContractingManaged CareMedicareMedicaidRevenue Cycle ManagementPayer BehaviorContract PerformanceOperational Changes

About the role

Key responsibilities & impact

Support negotiation, implementation, and management of payer contracts to ensure optimal reimbursement and compliance
Establish or renew contracts under new Tax IDs as needed
Create and maintain contract summary forms for all clients
Monitor contract termination dates and coordinate renewals, renegotiations, or terminations
Process contract terminations and maintain payer contracts and related documents according to company file storage protocols
Gather and analyze data to support negotiation strategy, rate improvements, alternate payment models, and revenue cycle improvements
Assist with preparation and review of payer contracts, amendments, and fee schedules
Own and serve as subject matter expert for the payer contract module in Athena
Upload and maintain commercial and governmental fee schedules
Create and configure rule-based logic
Monitor variance reporting to identify rule updates, emerging payer trends, and inappropriate payer behavior such as underpayments
Monitor, interpret, and communicate payer policy updates, coverage determinations, and regulatory changes
Review payer behavior before contract expiration and recommend revised rates to maximize client reimbursement
Prepare reports and dashboards summarizing contract metrics and financial outcomes
Participate in client meetings as a subject matter expert on contract performance and improvement opportunities
Notify client managers about upcoming renegotiation or termination windows
Build relationships with payer Provider Representatives
Participate in team meetings addressing payment terms, underpayments, and contract-related trends
Partner with revenue cycle teams to resolve payment issues and assist with appeals or reconsiderations for underpaid or denied claims
Provide contract interpretation guidance to coding, billing, patient access, legal, compliance, operations, and clinical departments
Communicate contract updates and reimbursement changes to stakeholders
Support implementation of new payer programs, reimbursement models, and operational changes

Requirements

What you’ll need

Intermediate skills in Microsoft Outlook, Excel, PowerPoint, and Word
Proficient with Adobe
Effective written and verbal communication skills
Experience with Laserfiche preferred but not required
Knowledge of healthcare payer contracting, including commercial and government payers (Medicare, Medicaid, managed care)
Knowledge of payer contract terms, fee schedules, amendments, notices, and termination provisions
Knowledge of payer policies, coverage determinations, and regulatory requirements affecting reimbursement
Knowledge of data analysis and financial reporting related to contract performance and payer behavior
Experience with revenue cycle operations, including billing, coding, payment posting, underpayment analysis, clearinghouse, and appeals
Working knowledge of practice management or EHR systems, preferably Athena IDX and payer contract modules
Familiarity or experience with Payer Price or similar payer rate transparency tool
Proven track record of successful payer contracting negotiations
Ability to analyze, evaluate, and apply knowledge of market and healthcare trends to effectively convey the value of a contract
Bachelor's degree in a related field such as healthcare administration or business preferred
3–5 years of experience in revenue cycle management, managed care, or a related healthcare financial role
2+ years of experience in healthcare payer contracting
Ability to travel within the US and stay overnight as needed
Expected travel of 10–15% of the time

Benefits

Comp & perks

Fully remote work arrangement
Travel opportunities to client visits, conferences, and industry-related events
Participation in key industry conferences and networking events