This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * * EXPERIENCE/EDUCATION ...
This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * * EXPERIENCE/EDUCATION ...
Payer Contracting Director
Corvallis, OR · On-site
$56.59 - $84.88/hr
This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * EXPERIENCE/EDUCATION ...
Payer Contracting Director
Corvallis, OR · On-site
$56.59 - $84.88/hr
This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * EXPERIENCE/EDUCATION ...
Payer Contracting Director
Corvallis, OR · On-site
This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * * EXPERIENCE/EDUCATION ...
Payer Contracting Director
Corvallis, OR · On-site
This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating ... We also build and maintain the payor contracts in the computer system. * * EXPERIENCE/EDUCATION ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
Department Overview OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships ...
... contracting, transparency, network access, and related operational requirements. This role is both ... Ability to support healthcare, pharmacy, PBM, healthcare technology, or payor-related contracts ...
... contracting, transparency, network access, and related operational requirements. This role is both ... Ability to support healthcare, pharmacy, PBM, healthcare technology, or payor-related contracts ...
The AGC will partner with business leaders on contracting, regulatory matters, and other legal ... Candidates without direct in-house PBM or payor experience will not be considered. Law firm ...
The AGC will partner with business leaders on contracting, regulatory matters, and other legal ... Candidates without direct in-house PBM or payor experience will not be considered. Law firm ...
Oncology Account Manager
Salem, OR · On-site
Collaborate with reimbursement market access support teams to optimize payor contract ... Experience selling into hospitals, contracting, and supply chain or relevant clinical experience in ...
Oncology Account Manager
Salem, OR · On-site
Collaborate with reimbursement market access support teams to optimize payor contract ... Experience selling into hospitals, contracting, and supply chain or relevant clinical experience in ...
Oncology Account Manager
Portland, OR · On-site
Collaborate with reimbursement market access support teams to optimize payor contract ... Experience selling into hospitals, contracting, and supply chain or relevant clinical experience in ...
Oncology Account Manager
Portland, OR · On-site
Collaborate with reimbursement market access support teams to optimize payor contract ... Experience selling into hospitals, contracting, and supply chain or relevant clinical experience in ...
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 as a Payor Contracting professional, and why are they important?
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 Oregon? For Payor Contracting jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Payor Contracting jobs in Oregon look for? The top searched job categories for Payor Contracting jobs in Oregon are:
Samaritan Health Services rating
7.5
Based on 65 frontline employees who took The Breakroom Quiz
231st of 890 rated healthcare providers
Job description
- At Samaritan Health Services, we're looking for a strategic and relationship-driven Payer Contracting Director to lead payer contracting initiatives that directly support our mission of improving the health of our communities. This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating complex agreements, analyzing financial performance, and collaborating across clinical and operational teams to develop innovative payment solutions.
In this highly visible role, you'll serve as a key liaison between Samaritan and health plans, helping to optimize contract performance while advancing value-based care strategies across our health system.
This position will require an onsite presence in Corvallis, OR for meetings when needed.
- DEPARTMENT DESCRIPTION
- The Contract Management teams at Samaritan Health Services are committed to building relationships with payors as well as involved in contract review, negotiation and performance. The teams work closely with all departments within the Health System relative to contract compliance and managed care issues. We also work closely with the Quality, Population Health and Clinical teams exploring and negotiating new payment methodologies, and developing, implementing, and managing value based payment strategies. We also build and maintain the payor contracts in the computer system.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Bachelor's degree in business administration or a healthcare related field required. Master's degree preferred.
- Four (4) years experience in a position of similar responsibility and complexity required.
- Experience or training in managed care systems and contract terminology preferred.
- KNOWLEDGE/SKILLS/ABILITIES
- Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
- Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
- Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
- Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
- PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)SIT
CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
CARRY 2-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0-20 pounds force)
PULL (0-20 pounds force)
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
None specified
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