Manager, Payer Contracts - Remote - Nationwide

Remote, Nationwide – Seeking Payer Contracts Manager

Everybody Has A Role To Play In Transforming Healthcare

If you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions while tackling some of the healthcare industry’s most challenging situations from the inside.

Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Responsible for oversight, coordination, and negotiation of contracting activities relating to assigned Payer Contracts across multiple regions and specialties.
• Makes recommendations regarding contract rates and payer contracting strategy to Director of Payer Contracts and VP of Payer Strategy.
• Manages contract cycle for all assigned agreements with current and prospective payers across multiple regions and specialties. Prioritizes decision making on payer related issues. Analyzes all payer issues and find a timely solution.
• Determines appropriate language in compliance with established legal requirements and negotiates contract language in a manner consistent with Vituity’s policies. Analyzes contractual language for functional, financial, and ethical appropriateness.
• Identifies opportunities to improve financial performance through payer negotiations and communicates the status of payer negotiations to appropriate stakeholders.
• Manages payer negotiation projects which may require research such as new specialties, new states, startups, entity changes, billing company changes, etc.
• Represents Vituity in meetings and negotiations with other organizations, associations, providers, and payers regarding all aspects of Payer Contracts.
• Acts as subject matter expert on payers and payer reimbursement trends. Maintains high level of expertise regarding payer and reimbursement policies.
• Reviews and assists in contract modeling, proformas, and dashboard reporting. Evaluates utilization and financial impact by region, specialty, and/or payer.
• Consistently demonstrates capacity to manage and resolve urgent issues that arise.
• Provides backup coverage when department Director and/or Sr Manager is unavailable.

Required Experience and Competencies

• Minimum two years of healthcare contracting, or managed care negotiation experience required.
• Minimum five years experience in healthcare with a thorough understanding of payers contracting, billing and collections, and provider enrollment process required.
• College degree preferred.
• Experience in payer contracting activities including but not limited to negotiation, language review, and resolving disputes.
• Experience in establishing and maintaining strong payer relationships with the ability to research payer related information and obtain requested information timely.
• Ability to effectively interact with all stakeholders both in written and verbal communication.
• Ability to effectively manage time and organize projects to accomplish goals thoroughly and accurately.
• Ability to think critically to evaluate and propose terms as well as solving problems with optimal solution.
• General knowledge of payer policies, coding and reimbursement rules, laws, and regulations.
• General knowledge of legal principles relating to managed care contracting.
• General knowledge of healthcare billing and collection processes to provide appropriate guidance on addressing payer issues.
• Proficient in Microsoft Office Suite (PowerPoint, Word, Excel, Outlook, OneNote, OneDrive, SharePoint, Teams).

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more.
• Trainings to help support and advance your professional growth.
• Team building activities such as virtual scavenger hunts and holiday celebrations.
• Flexible work hours.
• Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options.
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more.
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%.
• Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical.
• Student Loan Repayment Program.
• Professional and Career Development Program.
• EAP, travel assistance and identify theft included.
• Wellness program.
• Commuter Benefits Program.
• Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

Salary range for this role is $85,170 - $106,460 annually. Please speak with a recruiter for more information.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants Only. No agencies please.