Payer Contracting Manager, Transplant Program

Job not on LinkedIn

🕒 August 10

⛷️ Utah – Remote

info

💵 $59 - $91 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of IMH

IMH

501 - 1000 employees

Founded 2007

🏗️ Construction

📦 Logistics

🛡️ Insurance

Construction • Logistics • Insurance

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Manage all aspects of assigned payer relationships, including contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management • Maintain expertise of assigned contracts, including language, structure, rates, methodologies, and contracted providers and facilities • Ensure contract language, documentation, negotiations, payment rates, methodologies, storage, and escalated issues follow Payer Contracting standard practices • Represent Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees • Establish and maintain long-term relationships with aligned payers • Coordinate with Finance and Revenue Cycle leadership on risk-based contracting, proactive care strategies, and initiatives • Coordinate with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency • Provide leadership and mentorship to Payer Contracting Managers • Travel frequently to negotiate contracts with payers

🎯 Requirements

• Experience leading and supporting complex negotiations • Experience in a professional role requiring effective verbal and written communication of advanced topics • Ability to synthesize extensive data into clear, concise summaries without sacrificing material details • Experience leading teams, including cross-functional teams • Demonstrated experience mentoring teams and caregivers • Preferred: experience negotiating complex payer agreements, transplant center-of-excellence arrangements, specialty network contracts, and/or advanced reimbursement models • Strong understanding of case rates, bundled payments, carve-out agreements, and high-acuity service reimbursement • Ability to travel frequently to negotiate contracts with payers • Frequent computer use and ability to see and read information and documents • Ability to meet remote work expectations concerning confidentiality, information security, work schedules, conflicts of interest, and company equipment

🏖️ Benefits

• Sign-on bonus when applicable • Relocation bonus when applicable • Eligibility to participate in the Annual Pay for Performance (AP4P) Plan • Additional performance compensation opportunity based on attainment of selected Board-approved goals • Comprehensive benefits package covering wellness, health, security, connection, and engagement programs • PEAK up-front tuition coverage paid directly to the academic institution • 100+ learning options through the PEAK program, including undergraduate studies, high school diplomas, and professional skills and certificates • PEAK program eligibility on day 1 of employment

Apply Now

Similar Jobs

🕒 August 10

Guide Healthcare

51 - 200

⚕️ Healthcare Insurance

🏥 Healthcare

🎯 Recruiter

Remote RN Case Manager coordinating behavioral-health care for Guidehealth, a data-powered value-based healthcare company. Creating whole-person care plans and supporting patients through complex health journeys.

🇺🇸 United States – Remote

💵 $80k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🕒 August 10

Guide Healthcare

51 - 200

⚕️ Healthcare Insurance

🏥 Healthcare

🎯 Recruiter

RN Case Manager guiding patients through complex medical, behavioral, and social needs. Coordinating whole-person care for Guidehealth’s value-based healthcare model.

🇺🇸 United States – Remote

💵 $80k - $83k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🕒 August 10

EXL

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

Engagement Manager leading data-driven digital and direct-mail campaigns for EXL, a data analytics and business services company. Managing client relationships, campaign execution, reporting, contracts, and account growth.

🇺🇸 United States – Remote

💵 $120k - $150k / year

💰 $2M Venture Round on 2015-01

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🕒 August 10

LMI

1001 - 5000

📦 Logistics

🏥 Healthcare

🎖️ Defense

Senior IT Portfolio Manager guiding Army G-4 technology investments, OEPs, budgets, and modernization decisions. Supporting LMI’s federal defense and logistics mission solutions.

🇺🇸 United States – Remote

💵 $130k - $175k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

info

🕒 August 10

GT Independence

501 - 1000

👥 HR Tech

☁️ SaaS

👥 B2C

Revenue Cycle Manager optimizing reimbursement, claims, denials, and AR for GT Independence’s home and community-based care services. Leading regional revenue performance and forecasting across U.S. operations.

🇺🇸 United States – Remote

💵 $90k - $115k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager