Payor Contract Manager

Together Women's Health, LLC•Grosse Pointe Farms, MI

1d•$90,000 - $115,000•Remote

About The Position

The Contract Manager is responsible for negotiating, implementing, and maintaining commercial and government payor agreements. The role supports organizational financial goals by securing favorable reimbursement terms, ensuring regulatory compliance, and aligning contracts with strategic business objectives. It serves as a key liaison among payors, leadership, revenue cycle, legal, and clinical operations to ensure contracts are optimized and accurately administered. This is a remote position with occasional travel to payor meetings or organizational sites as needed.

Requirements

Bachelor’s degree in business, Healthcare Administration, Finance, or a related field.
At least 3–5 years of experience in payor contracting, healthcare reimbursement, or managed care.
Proven negotiation and relationship management skills.
Strong analytical and financial modeling abilities, with attention to detail.
Excellent written and verbal communication skills.
Proficiency in Microsoft Excel and contract management tools.
Detail-oriented, with strong problem-solving skills.

Nice To Haves

Demonstrated success negotiating and managing payor agreements.
Knowledge of value-based care, risk arrangements, and government programs such as Medicare and Medicaid.

Responsibilities

Lead negotiation, analysis, and renewal of payor agreements across commercial, government, and specialty networks.
Evaluate contract terms, reimbursement methodologies, and fee schedules for alignment with financial and operational goals.
Maintain collaborative relationships with payor representatives and internal stakeholders to facilitate communication and resolve issues.
Coordinate with Credentialing, Billing, Revenue Cycle, and IT teams to implement new and amended contracts and ensure accurate setup.
Maintain a centralized repository of contracts, fee schedules, amendments, and effective dates using contract management software.
Monitor contract compliance, performance, and renewal timelines to prevent lapses and maintain data integrity.
Identify and resolve contract discrepancies or payor operational issues affecting reimbursement.
Perform financial modeling and impact analysis of proposed reimbursement terms.
Provide leadership with regular updates on contract performance, trends, and financial outcomes.
Identify optimization opportunities, including rate improvements, value-based care participation, and alternative payment models.
Serve as the primary point of contact for payor contract-related matters.
Collaborate with Operations, Revenue Cycle, and Clinical Leadership to align operational execution with contract terms.
Educate and guide internal departments on contract provisions, rate structures, and billing requirements.