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Payer Strategy Manager Jobs in Nevada (NOW HIRING)

W3Global Inc.

Director of Payer Relations

Carson City, NV · On-site

$150K - $220K/yr

Summary:- The Director of Payer Relations is responsible for leading the organization's payer strategy, contract negotiations, and ongoing payer performance management to optimize reimbursement and ...

UHS

Manager - Payer Strategies - Acute

Las Vegas, NV

$85K - $114K/yr

Participates in negotiation strategy. Offers suggestions to Regional and Corporate leadership for ... Updates the Regional Director of Managed Care and Payer Strategies on unexpected changes in the ...

UHS

Manager - Payer Strategies - Acute

Las Vegas, NV · On-site

$95K - $135K/yr

Participates in negotiation strategy. Offers suggestions to Regional and Corporate leadership for ... Updates the Regional Director of Managed Care and Payer Strategies on unexpected changes in the ...

UHS

Manager - Payer Strategies - Acute

Las Vegas, NV · On-site

$85K - $114K/yr

Participates in negotiation strategy. Offers suggestions to Regional and Corporate leadership for ... Updates the Regional Director of Managed Care and Payer Strategies on unexpected changes in the ...

Pwc

Payer Quality Consultant, Director

Las Vegas, NV

$155K - $410K/yr

Industry/Sector Health Services Specialism Operations Management Level Director & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives within our ...

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Payer Strategy Manager information

What is the difference between Payer Strategy Manager vs Payer Account Manager?

AspectPayer Strategy ManagerPayer Account Manager
CredentialsBachelor's degree, healthcare or business background, sometimes an MBABachelor's degree, healthcare or business background, often with sales or account management experience
Work EnvironmentStrategic planning, market analysis, cross-functional collaborationClient relationship management, sales, contract negotiations
Employer & Industry UsageHealth insurance companies, pharmaceutical firms, healthcare consultingHealth insurance companies, managed care organizations, pharmaceutical companies

The Payer Strategy Manager focuses on developing and implementing payer strategies through market analysis and cross-functional collaboration. In contrast, the Payer Account Manager primarily manages client relationships, negotiates contracts, and maintains payer accounts. While both roles work within the healthcare payer industry, the Strategy Manager emphasizes planning and market positioning, whereas the Account Manager concentrates on client retention and sales.

What are the key skills and qualifications needed to thrive as a payer strategy manager?

To thrive as a Payer Strategy Manager, you need expertise in healthcare policy, data analysis, contract negotiation, and a background in business, healthcare administration, or a related field. Familiarity with claims management systems, financial modeling tools, and payer-provider platforms is typically required, along with relevant certifications such as Certified Professional in Healthcare Management (CPHM). Strong analytical thinking, relationship-building, and strategic communication skills help set top performers apart in this role. These capabilities are crucial for developing effective payer strategies, optimizing reimbursement, and maintaining productive partnerships with insurance payers.

What is a payer strategy manager?

A Payer Strategy Manager is a professional in the healthcare industry responsible for developing and implementing strategies related to health insurance payers, such as insurance companies, government programs, and managed care organizations. Their role involves analyzing market trends, negotiating contracts, and ensuring that products and services align with payer requirements to optimize reimbursement. They often collaborate with sales, marketing, and product teams to support business growth and maintain strong payer relationships. Payer Strategy Managers play a key role in shaping how healthcare organizations interact with payers to maximize access and profitability.

What are the primary challenges a payer strategy manager faces when aligning internal teams with payer requirements?

A Payer Strategy Manager often navigates the complex task of bridging internal cross-functional teams, such as sales, medical, and market access, with the evolving requirements of payers. This requires not only an in-depth understanding of payer policies and reimbursement landscapes but also strong communication skills to translate these requirements into actionable strategies. One common challenge is ensuring that all stakeholders remain informed and agile as payer expectations shift, which means the role demands adaptability and proactive coordination. Success often relies on building collaborative relationships and maintaining open channels of communication across departments.

What are popular job titles related to Payer Strategy Manager jobs in Nevada?

For Payer Strategy Manager jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Payer Strategy Manager jobs in Nevada look for?

The top searched job categories for Payer Strategy Manager jobs in Nevada are:

What cities in Nevada are hiring for Payer Strategy Manager jobs?

Cities in Nevada with the most Payer Strategy Manager job openings:

Payer Strategy Manager jobs near you
Infographic showing various Payer Strategy Manager job openings in Nevada as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Director of Payer Relations

W3Global Inc.

Carson City, NV • On-site

$150K - $220K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 26 days ago

Job description

Summary:-

The Director of Payer Relations is responsible for leading the organization's payer strategy, contract negotiations, and ongoing payer performance management to optimize reimbursement and support financial sustainability. This role serves as the primary liaison between the organization and commercial payers, driving strategic partnerships, ensuring contract compliance, and identifying opportunities to enhance revenue performance. The Director collaborates closely with Finance, Revenue Cycle, and Clinical Leadership to align payer arrangements with organizational goals, including value-based care initiatives, while proactively monitoring payer behavior, mitigating revenue leakage, and ensuring accountability to contract terms.

Required:-

  • Bachelor's Degree in Healthcare Administration, Business Administration, Finance, or related field

  • 7-10 years of progressive experience in healthcare payer relations, managed care contracting, or revenue cycle

  • 3-5 years of experience in leadership

  • Demonstrated experience leading complex payer negotiations and contract strategy

Preferred:-

  • Master's Degree in related field.

  • Experience with value-based care models and risk-based reimbursement arrangements

  • 3-5 years of experience in payer contracting

  • Experience collaborating cross-functionally with Finance, Revenue Cycle, and Clinical Leadership

Essential Functions:-

  • Lead payer strategy and contract negotiations, including reimbursement rates, contract terms, renewals, amendments, and long-term financial goals.

  • Develop and manage reimbursement models, including fee-for-service, value-based care, shared savings, bundled payments, and risk-based arrangements.

  • Oversee contract performance through financial modeling, revenue impact analysis, reimbursement methodology review, and identification of opportunities to improve financial outcomes.

  • Partner with Finance, Revenue Cycle, Clinical Leadership, and Care Management teams to optimize reimbursement, address payer issues, and align incentives with quality and patient outcomes.

  • Manage key payer relationships, including commercial health plans, through ongoing collaboration, business reviews, issue resolution, and network strategy support.

  • Analyze payer performance, denial trends, underpayments, and contract results while providing executive-level insights and recommendations to support strategic decision-making.

Our Benefits:-

  • No State Income Tax

  • Medical, Dental, Vision, FSA, Telehealth

  • Paid Time Off, Mental Health, and Volunteer Days

  • 100% Vested 401K & Roth with Company Contribution

  • Tuition Reimbursement

  • Referral Bonuses

  • On Site Education & Certification Programs

  • Base Wage Increases for Relevant Advanced Degrees

  • Free Calm App Subscription

  • 401(k), Medical insurance, Vision insurance, Dental insurance, Tuition assistance

W3Global logo

About W3Global

Sourced by ZipRecruiter

W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs. As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Frisco, TX, US

Year founded

2006

View All W3Global Jobs