Payer Contracting Manager, Transplant Program

Intermountain Health • Dayton, OH

2d • $60 - $92 • Remote

About The Position

The Payer Contracting Manager, Transplant Program is responsible for the strategic management of payer and specialty network relationships that support Intermountain Health's transplant programs. This role brings expertise in transplant reimbursement, specialty network contracting, and complex payer negotiations, partnering closely with business development and operational leaders to expand transplant outreach agreements, strengthen referral networks, and drive program growth.
The position oversees all aspects of assigned contracts, including negotiation support, contract and relationship management, reimbursement issue resolution, rate optimization, and cross-functional collaboration. This role serves as the primary contracting lead for transplant-related payer agreements across Intermountain Health.

Requirements

• Experience leading and supporting complex negotiations.
• Experience in a professional role that requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.
• Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.
• Experience leading teams, including cross-functional teams.
• Demonstrated experience mentoring teams and caregivers.

Nice To Haves

• Experience negotiating complex payer agreements, transplant center of excellence arrangements, specialty network contracts, and/or other advanced reimbursement models, with a strong understanding of case rates, bundled payments, carve out agreements, and high acuity service reimbursement.

Responsibilities

• Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
• Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.
• Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.
• Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.
• Establishes and maintains effective long-term relationships with highly aligned payers.
• Coordinates with Finance and Revenue Cycle leadership for the implementation of risk-based contracting, and proactive care, strategies and initiatives.
• Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.
• Provides leadership and mentorship to Payer Contracting Managers.

Benefits

• sign-on bonus
• relocation bonus
• Annual Pay for Performance (AP4P) Plan
• comprehensive benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed