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Payer Contracting Jobs (NOW HIRING)

Smile Brands

Director of Payer Strategy

Lead payer contracting activities, including contract renewals, renegotiations, and network participation initiatives. * Conduct financial and operational analysis to support payer negotiations and ...

New

FOCUSPOINT

Manager, Payer Contracts

Valencia, CA · On-site

$107K - $172K/yr

Serve as the primary liaison for payer contracting, negotiations, and issue resolution. * Develop negotiation strategies, contract language recommendations, and financial terms aligned with ...

Smile Brands

Director of Payer Strategy

Lead payer contracting activities, including contract renewals, renegotiations, and network participation initiatives. * Conduct financial and operational analysis to support payer negotiations and ...

New

Cardinal Health, Inc.

$88 - $138/hr

Develop and execute the payer contracting strategy for Cardinal Health's specialty pharmacy business, with a focus on building a national payer network from the ground up * Identify, cultivate, and ...

Teal Health, Inc

Director, Payer Partnerships

Teal Health is looking for an experienced payer contracting leader to own our health plan channel end to end - winning in-network agreements at strong rates, then negotiating the activation, payment ...

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How much do payer contracting jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for payer contracting in the United States is $41.53, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $49.04 per hour, depending on experience, location, and employer.

What is a payer contracting?

A Payer Contracting job involves negotiating, structuring, and managing agreements between healthcare providers and insurance companies or other payers. Professionals in this role ensure that contracts align with regulatory requirements, reimbursement strategies, and organizational financial goals. They analyze payment terms, manage relationships with payers, and work to secure favorable terms for healthcare organizations. Effective payer contracting helps ensure providers receive appropriate reimbursement for services while maintaining compliance with industry standards.

What are the typical responsibilities of someone working in payer contracting?

Professionals in Payer Contracting are responsible for negotiating, drafting, and managing contracts between healthcare providers and insurance payers. They review reimbursement rates, ensure compliance with state and federal regulations, and monitor contract performance to ensure favorable terms are met. Collaboration is common with finance, legal, and clinical teams to align contract terms with organizational goals. By carefully analyzing data and payer trends, they help maximize revenue and maintain strong payer relationships, making the role both challenging and impactful.

What are the key skills and qualifications needed to thrive in payer contracting, and why are they important?

To excel in Payer Contracting, strong analytical skills, knowledge of healthcare reimbursement models, and experience with contract negotiations are essential, often supported by a background in healthcare administration or business. Familiarity with contract management software, payer portals, and healthcare regulatory guidelines like Medicare and Medicaid is typically required. Outstanding interpersonal, negotiation, and problem-solving abilities help professionals build effective relationships and navigate complex agreements. These competencies are crucial for securing favorable contract terms, ensuring compliance, and driving financial success for healthcare organizations.

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Payer Contracting jobs near you
Infographic showing various Payer Contracting job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, 3% Part Time, and 5% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $86,380 per year, or $41.5 per hour.

Director of Payer Strategy

Smile Brands

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Smile Brands rating

6.5

Company rating: 6.5 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

606th of 891 rated healthcare providers

Job description

Overview
The Director, Payer Strategy is responsible for leading Smile Brands' payer contracting, relationship management, and payer performance initiatives. This role develops and maintains strategic payer partnerships, supports reimbursement optimization efforts, and collaborates with internal stakeholders to ensure effective implementation and management of payer agreements.
The Director serves as a key leader within the Payer Strategy team, overseeing payer negotiations, contract administration, performance monitoring, and cross-functional collaboration to support organizational growth and financial objectives.
Schedule (days/hours)
Monday - Friday
Responsibilities
Payer Contracting & Network Management
  • Lead payer contracting activities, including contract renewals, renegotiations, and network participation initiatives.
  • Conduct financial and operational analysis to support payer negotiations and contract recommendations.
  • Negotiate reimbursement rates, contract terms, and operational provisions with commercial carriers, TPAs, managed care organizations, specialty networks, and government-sponsored programs.
  • Ensure contract language and provisions comply with organizational standards and regulatory requirements.
  • Develop negotiation strategies and recommendations that balance patient access, reimbursement, and operational considerations.
  • Maintain awareness of upcoming renewals and develop negotiation plans to support organizational objectives.

Payer Relationship Management
  • Develop and maintain productive relationships with assigned payer organizations.
  • Serve as the primary point of contact for payer-related issues, escalations, and operational concerns.
  • Conduct regular business reviews, stewardship meetings, and performance discussions with payer partners.
  • Collaborate with payers to address reimbursement issues, operational challenges, and implementation activities.
  • Support efforts to strengthen payer partnerships and identify opportunities for mutual growth and improvement.

Payer Performance & Analytics
  • Work independently and with Payer Strategy Analytics Manager to:
    • Monitor payer contract performance, reimbursement trends, utilization patterns, and operational metrics.
    • Develop reports, scorecards, and dashboards to evaluate payer performance against established goals.
    • Identify opportunities to improve reimbursement outcomes, payer performance, and operational efficiency.
  • Partner with Finance and Revenue Cycle teams to assess financial performance and contract effectiveness.
  • Communicate payer performance results and recommendations to senior leadership.

Cross-Functional Collaboration
  • Partner with Revenue Cycle, Finance, Operations, Contracting & Credentialing, Fee Administration, Legal, and Clinical Leadership to support payer initiatives.
  • Support implementation and communication of new contracts, reimbursement changes, and payer policy updates.
  • Assist operational teams in understanding payer requirements, reimbursement methodologies, and contract provisions.
  • Participate in projects and committees that impact reimbursement, patient access, and payer performance.
  • Support payer-related analytics and business initiatives as needed.

Market & Industry Assessment
  • Monitor payer market trends, competitive activity, and regulatory developments.
  • Evaluate opportunities for network expansion, participation in new payer programs, and reimbursement improvement.
  • Provide recommendations regarding payer opportunities, risks, and emerging market trends.
  • Support strategic planning efforts through payer intelligence and market research.

Team Leadership
  • Lead, mentor, and develop members of the Payer Strategy team.
  • Establish priorities, performance expectations, and development plans.
  • Promote collaboration, accountability, and continuous improvement across the team.
  • Ensure appropriate documentation, processes, and controls are maintained.

Qualifications
  • Bachelor's Degree in Business Administration, Finance, Healthcare Administration, Economics, or related field.
  • Significant experience in payer contracting, managed care, provider relations, healthcare reimbursement, or payer strategy.
  • Meaningful leadership and management experience.
  • Demonstrated experience negotiating payer contracts and managing payer relationships.
  • Strong understanding of healthcare and dental reimbursement methodologies, payer economics, and contract structures.
  • Strong analytical, financial evaluation, and problem-solving skills.
  • Experience developing reports, metrics, and performance monitoring tools.
  • Ability to manage multiple projects, priorities, and stakeholder relationships effectively.
  • Strong verbal, written, presentation, and interpersonal communication skills.
  • Proven ability to collaborate effectively within a matrixed organization.

Preferred Qualifications
  • Experience in a Dental Support Organization (DSO), dental payer environment, or multi-site healthcare organization.
  • MBA, MHA, or related advanced degree.
  • Experience with payer analytics, financial modeling, and reimbursement analysis.
  • Familiarity with value-based reimbursement arrangements and alternative payment models.
  • Strong negotiation and relationship management capabilities.
  • Ability to influence decisions using data-driven insights and sound business judgment.
  • Results-oriented with strong organizational and project management skills.
  • Demonstrated ability to develop high-performing teams and drive operational improvements.

Compensation
$125,000 - $150,000 per year + Bonus
About Us
Benefits are determined by employment status/hours worked and include paid time off ("PTO"), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan.
Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.
Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com

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