Payer Contracting Manager, Transplant Program

Job not on LinkedIn

🕒 August 10

⛰️ Colorado, Idaho, +4 more states – Remote

⛰️ Colorado – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote ⛷️ Utah – Remote 🦬 Wyoming – Remote

💵 $59 - $91 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 55%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 97 days.
• Jobs at this company usually fill in 21 days.
• Reposted 3 times.

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IMH

WebsiteLinkedInAll Job Openings

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

• Strategically manage payer and specialty network relationships supporting Intermountain Health's transplant programs • Expand transplant outreach agreements and strengthen referral networks to drive program growth • Oversee assigned contracts, including negotiation support, contract and relationship management, reimbursement issue resolution, and rate optimization • Serve as the primary contracting lead for transplant-related payer agreements across Intermountain Health • Manage contract language negotiation, rate and methodology research and negotiation, dispute resolution, and payer relationship management • Maintain expertise in assigned contract language, structure, rates, methodologies, and contracted providers and facilities • Ensure contracting documentation, payment rates, methodologies, storage, and escalated issues follow standard practices • Represent Payer Contracting and Intermountain Health in key relationships and lead Joint Operating Committees • Establish and maintain long-term relationships with aligned payers • Coordinate with Finance and Revenue Cycle leadership on risk-based contracting and proactive care strategies • Coordinate with Legal and Compliance on contract accuracy, regulatory compliance, and language consistency • Provide leadership and mentorship to Payer Contracting Managers

🎯 Requirements

• Experience leading and supporting complex negotiations • Experience in a professional role requiring effective verbal and written communication to present advanced topics clearly, concisely, and professionally • Ability to synthesize extensive data into clear and concise summaries without sacrificing material details • Experience leading teams, including cross-functional teams • 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 • Ability to see and read information, documents, and monitors • Ability to verbally communicate and hear and understand spoken information, needs, and issues quickly and accurately • Manual dexterity for frequent computer use and manipulating complex and delicate equipment • May be expected to drive a vehicle • Candidates must comply with applicable work authorization, confidentiality, information security, scheduling, conflict-of-interest, and equipment-use policies for remote work

🏖️ Benefits

• Annual salary in addition to hourly compensation • Potential sign-on bonus • Potential relocation bonus • Eligibility for Annual Pay for Performance (AP4P) Plan • Performance-based compensation opportunity calculated as a percentage of base salary • Comprehensive benefits package supporting wellness, security, connection, and engagement • Remote work flexibility • Company equipment and remote-work support subject to policy

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