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Payer Relations and Contracting Process Manager

Ascension
Remote, USA
Full-time
Mid · 3–5 years experience
Remote
USD 86588.09-160931.87 yearly / year
Discovered 3 days ago

Full Job Posting

Responsibilities

  • Contract Negotiation & Redlining: Manage contract reviews and redlines, supporting negotiation initiatives of various scopes across the organization to align with government managed care goals.
  • Financial Modeling & Analytics: Analyze and interpret data to support negotiation strategies and improve revenue performance.
  • Relationship & Vendor Management: Act as the primary external relationship manager with commercial and government payers (including population health initiatives to optimize spend) as well as internal teams, and key vendor partners.
  • Performance Reporting & Portfolio Review: Develop comprehensive reporting solutions to track financial and operational contract performance, presenting actionable evaluations and recommendations for contract renewals, renegotiations, or terminations.

Qualifications

  • Education:
  • High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required. 3 years of leadership or management experience preferred.
  • Additional Preferences:
  • 3–5 years of hands-on experience in managed care contracting, contract redlining, payer/provider relations, and navigating state/federal regulatory environments (e.g., Medicare, Medicaid, Exchange).
  • Proven capability managing cross functional and payer/ provider relationships, paired with strong proficiency in contract negotiations.

About Company

Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options

Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance

Time to recharge: pro-rated paid time off (PTO) and holidays

Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

Family support: parental leave, adoption assistance and family benefits

Other benefits: optional legal and pet insurance, transportation savings and more

Company

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

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