Payer Relations Manager
About The Position
The Payer Relations Manager is responsible for managing relationships with payers, supporting contract negotiations, and ensuring compliance with regulations to optimize revenue cycle operations. This role also plays a critical part in BVEP’s integrations processes by evaluating fee schedules and contract rates for business entities exploring partnership with BVEP. This position is eligible for Remote Work. WHAT WE OFFER: Starting salary of $80,000 - $90,000 based on previous experience 6.5 paid holidays per year + 2 Floating holidays Approximately 10 days of PTO within first year Full slate of benefits to include health, dental, vision, and 401k
Requirements
- Bachelor’s degree in Business, Healthcare Administration or related degree required.
- 5+ years of experience in payer relations, market access, and/or managed care within the healthcare industry required.
- Demonstrated computer skills, including Microsoft Office with advanced Excel capabilities
Responsibilities
- Oversee the full life cycle of managed care contracts, including organization, compliance, and supporting all negotiations
- Serve as the primary point of contact for payer representatives, addressing and resolving issues related to enrollment, underpayments, and billing challenges
- Build and maintain strong relationships with key stakeholders at health plans to promote collaboration and resolve systemic issues
- Collaborate with internal teams to ensure alignment on payer strategies and resolution of issues
- Analyze market trends, payer policy changes, and coverage landscape to proactively adapt strategy
- Develop and manage the repository of payer and contract specific resources and documentation to support internal teams and providers
- Review and evaluate fee schedules and contracts of newly partnered practices to evaluate reimbursement opportunities
- Ensure that the billing systems are updated with the appropriate fees and rates
- Perform other duties as assigned
Benefits
- Starting salary of $80,000 - $90,000 based on previous experience
- 6.5 paid holidays per year + 2 Floating holidays
- Approximately 10 days of PTO within first year
- Full slate of benefits to include health, dental, vision, and 401k
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What This Job Offers
Job Type
Full-time
Career Level
Manager
