Payor Contracting Monday-Friday Days Hybrid - Must be located in Arizona Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 ...
Payor Contracting Monday-Friday Days Hybrid - Must be located in Arizona Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 ...
Payor Contracting Monday-Friday Days Hybrid - Must be located in Arizona Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 ...
Payor Contracting Monday-Friday Days Hybrid - Must be located in Arizona Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Physician
Phoenix, AZ · On-site
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Physician
Phoenix, AZ · On-site
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Opening in Phoenix, AZ
$18.50 - $22.50/hr
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Opening in Phoenix, AZ
$18.50 - $22.50/hr
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Opening in Goodyear, AZ
$18.25 - $22.25/hr
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Dermatology Opening in Goodyear, AZ
$18.25 - $22.25/hr
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. * EMR: EMA by Modernizing Medicine * Marketing ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... Payor Contracting. - EMR: EMA by Modernizing Medicine - Marketing support to promote your online presence includes organic search, online lists and citations, social media, reputation management ...
... contracted provider numbers are received, for review by all internal staff as needed and is ... The ideal candidate has payor/provider enrollment experience AND hospital credentialing experience.
Quick apply
... contracted provider numbers are received, for review by all internal staff as needed and is ... The ideal candidate has payor/provider enrollment experience AND hospital credentialing experience.
Payor Contracting information
What is payor contracting?
Payor Contracting refers to the process in healthcare where providers, such as hospitals or physician groups, negotiate agreements with insurance companies or government programs (the payors) regarding reimbursement terms for healthcare services. These contracts specify rates, covered services, payment schedules, and other important terms. Effective payor contracting ensures that healthcare organizations receive fair compensation for the care they provide and helps patients access care through their insurance plans.
What are some common challenges faced by professionals in payor contracting, and how can they be addressed?
Professionals in Payor Contracting often encounter challenges such as negotiating favorable reimbursement rates, navigating complex regulatory requirements, and managing multiple contract renewals simultaneously. These can be addressed by staying informed about industry trends, fostering strong relationships with payors, and maintaining meticulous contract documentation. Collaboration with legal, compliance, and finance teams is crucial to ensure all agreements align with organizational goals and regulatory standards, ultimately leading to more successful contract outcomes.
What are the key skills and qualifications needed to thrive in payor contracting?
To excel in Payor Contracting, you need strong analytical skills, knowledge of healthcare reimbursement, and experience with contract negotiation, usually supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is typical. Excellent communication, attention to detail, and relationship-building abilities are crucial soft skills for this role. These competencies ensure effective negotiation, compliance, and mutually beneficial agreements between healthcare providers and payors.
What is the difference between Payor Contracting vs Payor Credentialing?
| Aspect | Payor Contracting | Payor Credentialing |
|---|---|---|
| Required Credentials | Experience in healthcare contracts, negotiation skills | Licenses, certifications, provider credentials |
| Work Environment | Contract negotiations, provider agreements | Verification of provider credentials, compliance |
| Employer & Industry Usage | Health insurance companies, provider networks | Hospitals, clinics, insurance payers |
| Search & Comparison Intent | Understanding contract processes, negotiations | Verifying provider credentials, compliance standards |
Payor Contracting focuses on negotiating and establishing provider agreements with insurance payers, requiring negotiation skills and contract knowledge. Payor Credentialing involves verifying provider credentials and ensuring compliance, emphasizing licensing and certification verification. Both roles are essential in healthcare administration but serve different functions within the payer-provider relationship.
What are popular job titles related to Payor Contracting jobs in Arizona? For Payor Contracting jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Payor Contracting jobs in Arizona look for? The top searched job categories for Payor Contracting jobs in Arizona are:
What cities in Arizona are hiring for Payor Contracting jobs? Cities in Arizona with the most Payor Contracting job openings:
HonorHealth rating
7.7
Based on 209 frontline employees who took The Breakroom Quiz
159th of 887 rated healthcare providers
Job description
Primary City/State:
HonorHealth - 8125 N Hayden Rd Scottsdale, AZ 85258Category:
Contract ManagementShift:
DayDepartment:
Payor ContractingMonday-Friday Days
Hybrid - Must be located in Arizona
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
The Director of Payor Contracting Analytics serves as the health system's senior leader for payor contract modeling, financial evaluation, and performance intelligence. The role provides end to end analytical leadership across the payor contract lifecycle - from pre negotiation scenario development through post implementation performance monitoring - ensuring decisions are informed by rigorous analytics, forward looking forecasts, and objective insight across commercial, Medicare Advantage, and Medicaid arrangements. Operating as a peer Director within the Payor Contracting leadership structure, this role enables executive and contracting leaders with decision grade intelligence that quantifies financial impact, surfaces risk and opportunity, and supports sustainable margin performance at system scale.
ESSENTIAL FUNCTIONS
- The Director of Payor Contracting Analytics is accountable for the following core areas of work. Duties are organized to reflect how this role operates in practice within a large, complex health system.Payor Contract Analytics Strategy:Establish and lead the system wide analytical strategy supporting payor contracting activities.Align analytical priorities with contracting timelines, financial planning cycles, and executive decision needs.Serve as the primary authority on analytical rigor, methodology selection, and analytical framing for payor contract evaluation.Contract Modeling & Financial Forecasting:Direct the development, maintenance, and validation of reimbursement models across fee for service, DRG, case rate, per diem, capitation, and value based payment arrangements.Build forward looking financial forecasts that quantify expected revenue, margin, and risk exposure under varying contract scenarios.Support negotiation preparation through scenario modeling, sensitivity analysis, and downside risk assessment.Performance Monitoring & Optimization:Lead post implementation monitoring of payor contract performance.Analyze variance between expected and actual performance and identify drivers of under or over performance.Surface actionable insights to support corrective actions, renegotiation strategy, or operational adjustments.Data Analysis & Insight Generation:Oversee analysis of claims, encounter, reimbursement, and financial data related to managed care contracts.Identify trends, patterns, and emerging risks or opportunities across commercial, Medicare Advantage, and Medicaid payors.Translate complex data into concise, decision ready insights for executive and governance audiences.Standards, Methodology & Analytical Governance:Establish and maintain standard modeling assumptions, documentation practices, and analytical quality controls.Ensure consistency, transparency, and auditability of all contract analytics.Continuously evaluate and improve analytical approaches as reimbursement models and payer behaviors evolve.Executive & Cross Functional Partnership:Partner closely with Payor Contracting leadership, Finance, Revenue Cycle, Population Health, and Enterprise Analytics.Support executive discussions, governance reviews, and negotiation planning forums with clear, well-structured analysis.Act as a trusted analytical advisor to senior leaders on managed care financial performance and risk.Analytics Capability Development:Design and steward the future state payor contracting analytics operating model.Assess tools, reporting platforms, and data pipelines required to support scale and complexity.Evaluate and incorporate advanced analytics and AI enabled capabilities to improve efficiency, insight generation, and analytical reach while maintaining governance and accountability.
EDUCATION
- Bachelors Finance, Health Administration, Economics, Analytics, Statistics, or a related field Required
- Masters MBA, MHA, MPH, MS, or related discipline Preferred
EXPERIENCE
- 5 years, or more years of direct experience supporting or leading payor contracting analytics and negotiation preparation Required
- 10 years, or more years of progressive experience in healthcare analytics, managed care, finance, or revenue related functions Required
- Other, Prior experience within a large health system, multi hospital provider organization, or managed care environment strongly Preferred
LICENSE AND CERTIFICATIONS
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About HonorHealth
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HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Scottsdale, AZ, US
Year founded
2014