As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
Payer Contracting, Policy and Regulatory Counsel
South Burlington, VT · On-site
$93.82 - $112.58/hr
Chelsea Therrien The Payer Contracting, Policy & Regulatory Counsel serves as the lead legal ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
Payer Contracting, Policy and Regulatory Counsel
South Burlington, VT · On-site
$93.82 - $112.58/hr
Chelsea Therrien The Payer Contracting, Policy & Regulatory Counsel serves as the lead legal ... Unlike a traditional healthcare attorney focused solely on legal review, this position functions as ...
Director/Senior Legal Counsel - Medicare, Healthcare Regulatory & Contracting
Charlotte, NC · On-site
Medicare & Healthcare Regulatory Compliance/Contracting * Provide legal advice regarding Medicare Part D, health insurance and other federal healthcare program requirements. * Counsel business teams ...
Director/Senior Legal Counsel - Medicare, Healthcare Regulatory & Contracting
Charlotte, NC · On-site
Medicare & Healthcare Regulatory Compliance/Contracting * Provide legal advice regarding Medicare Part D, health insurance and other federal healthcare program requirements. * Counsel business teams ...
As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health ... Minimum of five (5) years of experience in payer contracting, provider contracting, managed care ...
Security Officer Part Time Overnight Healthcare
Durham, NC · On-site
$18.54/hr
Join Allied Universal as an Unarmed Patrol Officer in a healthcare location, where you will monitor and patrol assigned areas, remain visible to help deter security-related incidents, and deliver ...
Security Officer Part Time Overnight Healthcare
Durham, NC · On-site
$18.54/hr
Join Allied Universal as an Unarmed Patrol Officer in a healthcare location, where you will monitor and patrol assigned areas, remain visible to help deter security-related incidents, and deliver ...
Overnight CNA/HHA - Home Care
Saint Paul, MN · On-site
$20/hr
Health insurance * Paid time off * Vision insurance BrightStar Care of St. Croix Valley and Hudson ... As an Overnight Caregiver, you'll have the opportunity to build genuine relationships with clients ...
Quick apply
Overnight CNA/HHA - Home Care
Saint Paul, MN · On-site
$20/hr
Health insurance * Paid time off * Vision insurance BrightStar Care of St. Croix Valley and Hudson ... As an Overnight Caregiver, you'll have the opportunity to build genuine relationships with clients ...
Understanding of pediatric healthcare challenges, including high Medicaid volumes, subspecialty contracting, and value-based care for complex pediatric conditions. * Familiarity with medical coding ...
Understanding of pediatric healthcare challenges, including high Medicaid volumes, subspecialty contracting, and value-based care for complex pediatric conditions. * Familiarity with medical coding ...
Supports Health First's managed care contracting by analyzing data and contract terms to recommend market-appropriate rates and compliant, protective language. * Aids department leaders with complex ...
Supports Health First's managed care contracting by analyzing data and contract terms to recommend market-appropriate rates and compliant, protective language. * Aids department leaders with complex ...
Qualified candidates should have 3 years of experience or a demonstrated interest in health law, including healthcare regulatory matters, reimbursement, fraud and abuse, healthcare contracting, HIPAA ...
New
Qualified candidates should have 3 years of experience or a demonstrated interest in health law, including healthcare regulatory matters, reimbursement, fraud and abuse, healthcare contracting, HIPAA ...
New
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
Quick apply
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
... abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication skills are essential to this role, as is the ability to work well in a team ...
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
Quick apply
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
DIRECTOR, MANAGED CARE CONTRACTING
Santa Clarita, CA · On-site
$107K - $172K/yr
Women's imaging and breast health services * Emergency and trauma care * Cardiac rehabilitation and ... This position ensures alignment with organizational contracting standards while proactively ...
DIRECTOR, MANAGED CARE CONTRACTING
Santa Clarita, CA · On-site
$107K - $172K/yr
Women's imaging and breast health services * Emergency and trauma care * Cardiac rehabilitation and ... This position ensures alignment with organizational contracting standards while proactively ...
Qualified candidates should have 3 years of experience or a demonstrated interest in health law, including healthcare regulatory matters, reimbursement, fraud and abuse, healthcare contracting, HIPAA ...
New
Qualified candidates should have 3 years of experience or a demonstrated interest in health law, including healthcare regulatory matters, reimbursement, fraud and abuse, healthcare contracting, HIPAA ...
New
Director, Managed Care
$196K - $294K/yr
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
Director, Managed Care
$196K - $294K/yr
Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Description Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director ...
Director, Managed Care
Fremont, CA · On-site
$196K - $294K/yr
Description Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director ...
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
Corporate Manager of Managed Care Contracting (on-site) (no relo)
Alhambra, CA · On-site
$94K - $126K/yr
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
Corporate Manager of Managed Care Contracting (on-site) (no relo)
Alhambra, CA · On-site
$94K - $126K/yr
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
Corporate Manager of Managed Care Contracting (on-site) (no relo)
Alhambra, CA · On-site
$130K - $166K/yr
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
Corporate Manager of Managed Care Contracting (on-site) (no relo)
Alhambra, CA · On-site
$130K - $166K/yr
F. Assists hospital management regarding managed care, employee health plans and patient care ... contracting. 5 years of progressive experience in management required Prior experience with ...
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Main Line Health rating
7.4
Based on 124 frontline employees who took The Breakroom Quiz
268th of 887 rated healthcare providers
Job description
Manager, Payor Strategies
Location: Radnor, PA (Hybrid)
Schedule: Full-Time Day Schedule
Compensation: $101,857.60 - $157,809.60
Why This Role Matters
Healthcare is rapidly evolving, and strong payer partnerships are critical to ensuring patients have access to quality care while maintaining the financial strength needed to invest in our communities. As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health's relationships with insurance providers, negotiating contracts that support our mission, optimize reimbursement, and position the organization for success in an increasingly complex healthcare landscape.
Working at the intersection of strategy, finance, revenue cycle, and operations, you'll influence decisions that impact millions of dollars in reimbursement, support innovative value-based care initiatives, and help ensure Main Line Health can continue delivering exceptional care to the patients and communities we serve.
Benefits & Perks
What You'll Do
As the Manager, Payor Strategies, you'll serve as a strategic leader responsible for managing a select group of payer relationships and ensuring Main Line Health is well-positioned in an evolving healthcare landscape. You'll combine contract negotiation expertise, financial analysis, and cross-functional collaboration to drive organizational success. In this role, you will be accountable for negotiating, developing, and monitoring payor contracts across the enterprise to maximize Main Line Health's strategic goals. This position provides support to Patient Access, Patient Accounting, and Finance Directors to ensure the proper implementation and monitoring of payor contracts and compensation terms for all MLH entities (Acute Care, Acute Rehabilitation, Employed Physician and Ancillary Services).
Key Responsibilities
Team Collaboration & Growth
Success in this role requires strong partnership across the organization. You'll work closely with leaders throughout Finance, Revenue Cycle, Patient Access, Patient Accounting, Compliance, Legal, Care Management, and operational teams to ensure contracts are effectively implemented and optimized.
This role offers the opportunity to:
What You Bring:
Required Qualifications
Preferred Qualifications
Join Our Team Today!
At Main Line Health, you'll find more than a job-you'll find an opportunity to influence the future of healthcare. As our next Manager, Payor Strategies, you'll help shape critical payer partnerships, drive meaningful financial outcomes, and support innovative care delivery models that benefit both our organization and the communities we serve.
If you're a strategic thinker who thrives on relationship building, contract negotiation, and solving complex healthcare challenges, we invite you to bring your expertise to a collaborative, mission-driven team dedicated to making a lasting impact.
Join Main Line Health and help us create stronger partnerships, healthier communities, and a brighter future for healthcare. Apply today!
Location: Radnor, PA (Hybrid)
Schedule: Full-Time Day Schedule
Compensation: $101,857.60 - $157,809.60
Why This Role Matters
Healthcare is rapidly evolving, and strong payer partnerships are critical to ensuring patients have access to quality care while maintaining the financial strength needed to invest in our communities. As the Manager, Payor Strategies, you will play a key role in shaping Main Line Health's relationships with insurance providers, negotiating contracts that support our mission, optimize reimbursement, and position the organization for success in an increasingly complex healthcare landscape.
Working at the intersection of strategy, finance, revenue cycle, and operations, you'll influence decisions that impact millions of dollars in reimbursement, support innovative value-based care initiatives, and help ensure Main Line Health can continue delivering exceptional care to the patients and communities we serve.
Benefits & Perks
- Up to 240 hours (6 weeks) of paid time off annually
- Comprehensive medical, dental, and vision coverage
- 100% Employer-Funded Pension Plan + 403(b) Match
- Tuition reimbursement of up to $6,000 annually
- Professional development, training, and certification support
- Employee discounts on services and activities
- Free employee parking
What You'll Do
As the Manager, Payor Strategies, you'll serve as a strategic leader responsible for managing a select group of payer relationships and ensuring Main Line Health is well-positioned in an evolving healthcare landscape. You'll combine contract negotiation expertise, financial analysis, and cross-functional collaboration to drive organizational success. In this role, you will be accountable for negotiating, developing, and monitoring payor contracts across the enterprise to maximize Main Line Health's strategic goals. This position provides support to Patient Access, Patient Accounting, and Finance Directors to ensure the proper implementation and monitoring of payor contracts and compensation terms for all MLH entities (Acute Care, Acute Rehabilitation, Employed Physician and Ancillary Services).
Key Responsibilities
- Lead negotiations, implementation, and ongoing management of payer agreements across Main Line Health's acute care, physician, rehabilitation, and ancillary service lines.
- Serve as the primary relationship manager for assigned insurance providers, fostering strong partnerships and resolving operational and contractual challenges.
- Analyze reimbursement methodologies, fee schedules, contract performance, and compensation structures to identify opportunities for optimization.
- Support the development of innovative payer-provider arrangements, including value-based payment models and alternative reimbursement strategies.
- Monitor contract performance and collaborate with operational leaders to improve outcomes related to revenue cycle operations, patient access, utilization management, and reimbursement.
- Provide expertise and guidance regarding payer contract language, compensation terms, and reimbursement methodologies.
- Facilitate meetings with payer representatives and internal stakeholders to strengthen performance, address challenges, and improve partnership outcomes.
- Stay informed on regulatory, legislative, and market changes impacting managed care, accountable care organizations (ACOs), clinically integrated networks (CINs), and healthcare reimbursement.
Team Collaboration & Growth
Success in this role requires strong partnership across the organization. You'll work closely with leaders throughout Finance, Revenue Cycle, Patient Access, Patient Accounting, Compliance, Legal, Care Management, and operational teams to ensure contracts are effectively implemented and optimized.
This role offers the opportunity to:
- Influence strategic decisions that impact the financial health of a leading healthcare system.
- Build executive-level relationships with major payer organizations throughout the region.
- Drive innovative reimbursement and value-based care initiatives.
- Expand expertise in healthcare economics, managed care strategy, contract negotiation, and payer relations.
- Gain broad exposure across clinical, operational, financial, and regulatory functions within a complex health system.
What You Bring:
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Economics, Public Health, or a related field.
- Minimum of five (5) years of experience in payer contracting, provider contracting, managed care, medical economics, healthcare informatics, or related healthcare strategy functions.
- Experience working within a health system, hospital, healthcare organization, managed care organization, or insurance payer environment.
- Strong contract negotiation and relationship management skills.
- Demonstrated analytical, financial modeling, and problem-solving abilities.
- Advanced Microsoft Excel proficiency and strong working knowledge of Microsoft Office applications.
- Exceptional communication, presentation, and stakeholder management skills.
- Ability to independently manage multiple priorities in a fast-paced environment while maintaining strong attention to detail.
Preferred Qualifications
- Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Finance, or a related field.
- Experience with value-based reimbursement models, population health strategies, or alternative payment arrangements.
- Knowledge of Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), and evolving healthcare reimbursement models.
- Experience conducting reimbursement analyses, fee schedule reviews, and contract modeling.
- Prior experience leading complex negotiations involving healthcare payers, providers, or managed care organizations.
Join Our Team Today!
At Main Line Health, you'll find more than a job-you'll find an opportunity to influence the future of healthcare. As our next Manager, Payor Strategies, you'll help shape critical payer partnerships, drive meaningful financial outcomes, and support innovative care delivery models that benefit both our organization and the communities we serve.
If you're a strategic thinker who thrives on relationship building, contract negotiation, and solving complex healthcare challenges, we invite you to bring your expertise to a collaborative, mission-driven team dedicated to making a lasting impact.
Join Main Line Health and help us create stronger partnerships, healthier communities, and a brighter future for healthcare. Apply today!
What Main Line Health employees say
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About Main Line Health
Sourced by ZipRecruiter
Main Line Health, a System Magnet designated health network, is a not-for-profit acute care system that demonstrates competence in evidence-based nursing practice, making clinical decisions using the best available research evidence, clinical expertise, and patient preference. We recognize that people are the most important asset we have so we believe in fostering a work environment of collaboration, participation, and respect.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Bryn Mawr, PA, US
Year founded
1985