Payer Contracting & Network Development Manager

Ethos Holding CorpNewport, KY
Onsite

About The Position

Ethos Laboratories is a national leader in advanced clinical diagnostics, focused on delivering medically relevant insights that improve outcomes in addiction recovery, chronic pain management, and chronic disease care. Our mission is to help more people by providing fast, accurate, and actionable diagnostic information that supports better clinical decision-making. With a rapidly expanding national footprint and nearly 400 payer relationships, Ethos is entering its next phase of growth, focused on expanding in-network access across Medicaid Managed Care and commercial health plans. We are seeking a high-energy, results-driven professional to lead outbound payer contracting efforts across the United States. This is a true hunter role focused on identifying, engaging, and closing new payer agreements, with a primary emphasis on Medicaid Managed Care Organizations (MCOs), followed by commercial plans and regional networks. This role is ideal for someone who thrives on outbound outreach, persistent follow-up, and closing complex deals. You will own the full contracting lifecycle from first contact through execution, working closely with internal leadership, legal, and credentialing teams to bring agreements across the finish line. This position is based in Newport, KY and is primarily onsite, with potential hybrid flexibility for the right candidate.

Requirements

  • 3+ years of experience in inside sales, business development, or payer contracting
  • Proven success in outbound prospecting and closing opportunities through persistent follow-up
  • Strong communication and negotiation skills with the ability to engage multiple stakeholders
  • Ability to manage long sales cycles and maintain momentum
  • Highly organized with strong pipeline and activity management discipline
  • Self-motivated with a strong sense of urgency and accountability to results

Nice To Haves

  • Direct experience working with Medicaid Managed Care Organizations, health plans, IPAs, or delegated networks
  • Background in healthcare services, laboratory services, or provider network development
  • Familiarity with payer contracting processes and reimbursement structures

Responsibilities

  • Prospect and secure new in-network payer contracts nationwide, with a primary focus on Medicaid MCOs
  • Execute high-volume outbound outreach via phone and email to payer and network decision-makers
  • Build and manage a disciplined pipeline of contracting opportunities from initial contact through signed agreement
  • Lead payer discussions related to network participation, reimbursement structure, and contract terms within defined parameters
  • Maintain consistent follow-up cadence to advance opportunities and overcome objections
  • Partner with internal teams including leadership, legal, credentialing, and billing to support contract execution
  • Track all outreach activity, pipeline status, and key milestones within CRM tools
  • Identify payer trends, barriers, and objections to inform targeting and strategy
  • Support renewals, amendments, and expansion opportunities within existing payer relationships as needed

Benefits

  • Direct impact on national payer expansion and company growth
  • High visibility role with executive leadership
  • Opportunity to build a scalable payer network across key markets
  • Clear path for advancement into senior commercial or payer strategy roles
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