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Payer Contracting Manager Jobs (NOW HIRING)

Skilled Wound Care

Payer Contracting Manager

Los Angeles, CA · On-site

$95K - $128K/yr

The Payer Contracting Manager serves as the primary architect of the financial relationship between a healthcare provider and insurance companies (payers). This role is a blend of high-stakes ...

Amgen

OR · On-site

$88K - $118K/yr

Payer Contracting Manager What you will do Let's do this. Let's change the world. As a member of the US Value and Access (USV&A) team, the Manager, Contract Development - Payer Contract Writer is ...

Amgen, Inc.

Payer Contracting Manager

$91K - $121K/yr

Payer Contracting Manager What you will do Let's do this. Let's change the world. As a member of the US Value and Access (USV&A) team, the Manager, Contract Development - Payer Contract Writer is ...

OpenLoop Health, Inc

Manager, Payer Contracting

$91K - $121K/yr

OpenLoop is looking for a Manager of Payer Contracting to join our team remotely or in our HQ located in Des Moines, Iowa. This role will be a member of the Clinical Compliance Team, collaborating ...

Dana-Farber Cancer Institute

Reporting to the Director of Payer Finance and Strategy, the Senior Project Manager, Payer Contracting plays a key role in leading and overseeing projects and programs related to the goals of the ...

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How much do payer contracting manager jobs pay per year?

As of Jun 15, 2026, the average yearly pay for payer contracting manager in the United States is $106,034.00, according to ZipRecruiter salary data. Most workers in this role earn between $89,000.00 and $119,000.00 per year, depending on experience, location, and employer.

What is a Payer Contracting Manager?

A Payer Contracting Manager is a healthcare professional responsible for negotiating and managing contracts between healthcare providers (such as hospitals or physician groups) and insurance companies or other payers. Their main goal is to secure favorable terms and reimbursement rates for their organization while ensuring compliance with regulations. They analyze market trends, maintain payer relationships, and help resolve contract-related issues. This role is crucial for optimizing revenue and ensuring smooth billing and claims processes.

What are the key skills and qualifications needed to thrive as a Payer Contracting Manager, and why are they important?

To thrive as a Payer Contracting Manager, you need strong analytical skills, contract negotiation expertise, and a solid understanding of healthcare reimbursement models, typically backed by a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with contract management software, healthcare regulations, and payer-provider systems is essential. Excellent communication, relationship-building, and problem-solving abilities set standout professionals apart in this role. These skills are crucial for securing favorable contracts, ensuring compliance, and supporting an organization’s financial health in a complex healthcare landscape.

What are some common challenges a Payer Contracting Manager faces when negotiating agreements with insurance companies?

A Payer Contracting Manager often encounters challenges such as aligning the organization's reimbursement goals with payer requirements, navigating complex regulatory environments, and balancing competitive rates with profitability. Negotiations can be lengthy and require extensive data analysis to justify terms, while also managing relationships with both internal stakeholders and payer representatives. Additionally, adapting to frequent changes in healthcare policies and payer strategies is crucial for success in this dynamic role.

What is the difference between Payer Contracting Manager vs Payer Contract Analyst?

AspectPayer Contracting ManagerPayer Contract Analyst
CredentialsBachelor's degree, experience in healthcare or insurance, knowledge of contractsBachelor's degree, healthcare or insurance background, familiarity with contract analysis
Work EnvironmentManagement of contracting teams, strategic negotiations, cross-department collaborationData analysis, contract review, supporting negotiations
Employer & IndustryHospitals, insurance companies, healthcare providersInsurance firms, healthcare organizations, consulting firms

The Payer Contracting Manager oversees contract negotiations and manages teams, focusing on strategic relationships. In contrast, the Payer Contract Analyst primarily analyzes contracts and supports negotiation processes. Both roles require healthcare or insurance knowledge but differ in scope and responsibilities.

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Payer Contracting Manager jobs near you
Payer Contracting Manager

Payer Contracting Manager

Skilled Wound Care

Los Angeles, CA • On-site

$95K - $128K/yr

Full-time

Medical, Retirement, PTO

Posted 12 days ago

Job description

The Payer Contracting Manager serves as the primary architect of the financial relationship between a healthcare provider and insurance companies (payers). This role is a blend of high-stakes negotiation, financial analysis, and strategic relationship management.
Role Overview
The Payer Contracting Manager is responsible for negotiating, monitoring, and maintaining all managed care contracts. You will ensure that the organization's reimbursement rates are competitive, fiscally sustainable, and aligned with market shifts toward value-based care.
Key Responsibilities
  • Contract Negotiation: Lead the end-to-end negotiation process for fee-for-service and value-based care agreements with national and local payers (e.g., Blue Cross, UnitedHealthcare, Aetna, CMS).
  • Financial Modeling: Analyze the financial impact of proposed rate changes using internal utilization data to ensure a positive return on investment (ROI).
  • Relationship Management: Act as the primary liaison between the organization and payer representatives to resolve systemic claims issues or credentialing bottlenecks.
  • Strategy Development: Identify opportunities for network expansion and evaluate the feasibility of new "at-risk" or bundled payment models.
  • Compliance & Monitoring: Ensure all contracts comply with state and federal regulations (HIPAA, ERISA, etc.) and that internal departments are aware of specific payer requirements.
  • Contract Lifecycle Management: Manage the "signature to implementation" process, ensuring all contracts are properly executed, scanned, and loaded into the billing system.
  • Market Analysis: Stay abreast of industry trends, legislative changes, and competitor pricing to maintain a competitive edge.

Required Qualifications
  • Education: Bachelor's degree in Healthcare Administration, Finance, Business, or a related field. (Master's degree/MHA/MBA preferred).
  • Experience: 5+ years of experience in managed care contracting, provider relations, or healthcare reimbursement.
  • Technical Skills: * Advanced proficiency in Excel for financial modeling.
    • Familiarity with medical coding (ICD-10, CPT, HCPCS) and billing software.
    • Deep understanding of different reimbursement methodologies

Job Benefits
  • $83,000 - $98,000 depending on experience
  • Paid vacation days
  • Health insurance
  • Retirement plans

Skilled Wound Care will ask all candidates to perform pre-employment confidential DiSC testing and appropriate relevant skills testing prior to hiring.
Skilled Wound Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability or genetic information.

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