Payer Contracting Manager, Transplant Program
About The Position
The Payer Contracting Manager, Transplant Program strategically manages payer and specialty network relationships that support Intermountain Health’s transplant programs. The role applies expertise in transplant reimbursement, specialty network contracting, and complex payer negotiations to help expand transplant outreach agreements, strengthen referral networks, and drive program growth in partnership with business development and operational leaders. The position oversees assigned contracts, including negotiation support, contract and relationship management, reimbursement issue resolution, rate optimization, and cross-functional collaboration. It serves as the primary contracting lead for transplant-related payer agreements across Intermountain Health. The position may be performed remotely with business travel as needed, subject to the stated state hiring restrictions and remote-work expectations.
Requirements
- Experience leading and supporting complex negotiations.
- Experience in a professional role requiring effective verbal and written communication to present advanced topics clearly, concisely, and professionally.
- Ability to synthesize extensive data into clear and concise summaries without omitting material details.
- Experience leading teams, including cross-functional teams.
- Demonstrated experience mentoring teams and caregivers.
- Ability to travel frequently to negotiate contracts with payers.
Nice To Haves
- Experience negotiating complex payer agreements, transplant center of excellence arrangements, specialty network contracts, and/or other advanced reimbursement models.
- Strong understanding of case rates, bundled payments, carve-out agreements, and high-acuity service reimbursement.
Responsibilities
- Manage assigned payer relationships, including contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.
- Maintain expertise in assigned contracts, including contract and amendment language and structure, rates, methodologies, and contracted providers and facilities.
- Ensure contract language, documentation, negotiation, payment rates and methodologies, contract storage, and escalated contract issues follow Payer Contracting standard practices.
- Represent Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.
- Establish and maintain effective long-term relationships with highly aligned payers.
- Coordinate with Finance and Revenue Cycle leadership on implementation of risk-based contracting and proactive care strategies and initiatives.
- Coordinate with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.
- Provide leadership and mentorship to Payer Contracting Managers.
Benefits
- Potential sign-on bonus and relocation bonus, when applicable.
- Eligibility to participate in the Annual Pay for Performance (AP4P) Plan, which provides an additional performance compensation opportunity based on attainment of selected Board-approved goals.
- A comprehensive benefits package covering programs intended to support wellness.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
