The position also supports payor contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partnership with key internal teams. How You'll Have an ...
The position also supports payor contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partnership with key internal teams. How You'll Have an ...
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Subject Matter Expert, Managed Care & Payor Contracting
New York, NY · On-site
$175K - $250K/yr
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Subject Matter Expert, Managed Care & Payor Contracting
New York, NY · On-site
$175K - $250K/yr
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Subject Matter Expert, Managed Care & Payor Contracting
Manhattan, NY · On-site
$175 - $250/hr
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Subject Matter Expert, Managed Care & Payor Contracting
Manhattan, NY · On-site
$175 - $250/hr
Develop and deliver subject matter expertise in managed care contracting and payor strategy to support AI product development and customer margin realization * Work closely with our engineering ...
Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ
Pennington, NJ · On-site
Eight years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a high school diploma or equivalent. Prior management experience is ...
Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ
Pennington, NJ · On-site
Eight years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a high school diploma or equivalent. Prior management experience is ...
Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ
Pennington, NJ · On-site
Eight years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a high school diploma or equivalent. Prior management experience is ...
Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ
Pennington, NJ · On-site
Eight years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a high school diploma or equivalent. Prior management experience is ...
Senior Director, Payor Relations
Frisco, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Quick apply
Senior Director, Payor Relations
Frisco, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Senior Director, Payor Relations
Frisco, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Quick apply
Senior Director, Payor Relations
Frisco, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Senior Director, Payor Relations
$125K - $170K/yr
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Senior Director, Payor Relations
$125K - $170K/yr
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Payor Contract Manager - Remote
TN · Remote
Responsible for achieving prioritized contracting targets for market. * Collaborates with director and payor contracting to achieve regional/market goals and contract targets. * Accountable for a ...
Payor Contract Manager - Remote
TN · Remote
Responsible for achieving prioritized contracting targets for market. * Collaborates with director and payor contracting to achieve regional/market goals and contract targets. * Accountable for a ...
The position also leads payor contracting strategy--including negotiation, performance oversight, and development of pediatric-appropriate value-based arrangements--while managing key payor ...
The position also leads payor contracting strategy--including negotiation, performance oversight, and development of pediatric-appropriate value-based arrangements--while managing key payor ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Quick apply
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Payor Optimization Manager
Claxton, GA · On-site
Support the full payer contracting lifecycle, including provider onboarding, applications, renewals ... Strong understanding of insurance payor processes, credentialing standards, and provider data ...
New
Payor Optimization Manager
Claxton, GA · On-site
Support the full payer contracting lifecycle, including provider onboarding, applications, renewals ... Strong understanding of insurance payor processes, credentialing standards, and provider data ...
New
Director, Strategic Finance, Contracting & Treasury Fortify (Contracting Specialist)
Norfolk, VA · On-site
The position also leads payor contracting strategy-including negotiation, performance oversight, and development of pediatric-appropriate value-based arrangements-while managing key payor ...
Director, Strategic Finance, Contracting & Treasury Fortify (Contracting Specialist)
Norfolk, VA · On-site
The position also leads payor contracting strategy-including negotiation, performance oversight, and development of pediatric-appropriate value-based arrangements-while managing key payor ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Senior Director, Payor Relations-Frisco,TX
Dallas, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Quick apply
Senior Director, Payor Relations-Frisco,TX
Dallas, TX · On-site
$125K - $170K/yr
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth ...
Payor Contract Specialist
Torrance, CA · On-site
$71K - $79K/yr
The Specialist serves as a key business partner to Payor Contracting, Revenue Cycle Management (RCM), and operational leadership to ensure contracts are effectively implemented and aligned with ...
Payor Contract Specialist
Torrance, CA · On-site
$71K - $79K/yr
The Specialist serves as a key business partner to Payor Contracting, Revenue Cycle Management (RCM), and operational leadership to ensure contracts are effectively implemented and aligned with ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Quick apply
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Drive the achievement of contracted sales goals and enhance market share and profitability. * Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure ...
Payor Contract Specialist
Torrance, CA · On-site
$71K - $79K/yr
The Specialist serves as a key business partner to Payor Contracting, Revenue Cycle Management (RCM), and operational leadership to ensure contracts are effectively implemented and aligned with ...
Payor Contract Specialist
Torrance, CA · On-site
$71K - $79K/yr
The Specialist serves as a key business partner to Payor Contracting, Revenue Cycle Management (RCM), and operational leadership to ensure contracts are effectively implemented and aligned with ...
Payor Contracting information
What is payor contracting?
What are the key skills and qualifications needed to thrive in payor contracting?
What are some common challenges faced by professionals in payor contracting, and how can they be addressed?
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 cities are hiring for Payor Contracting jobs?
Cities with the most Payor Contracting job openings:
What states have the most Payor Contracting jobs?
States with the most job openings for Payor Contracting jobs include:
What job categories do people searching Payor Contracting jobs look for?
The top searched job categories for Payor Contracting jobs are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
ChildServe rating
7.2
Based on 20 frontline employees who took The Breakroom Quiz
Job description
This is a newly created role responsible for overseeing end-to-end provider and entity credentialing, payor enrollment, and medical staff privileging to ensure timely and accurate participation with Medicaid, MCOs, and commercial payors. The position also supports payor contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partnership with key internal teams.
How You'll Have an Impact
Payor Credentialing & Enrollment
- Manage end-to-end credentialing and enrollment of organizational entities with Medicaid, MCOs, and commercial payors.
- Credential and recredential physicians, advanced practice providers (APPs), and other clinical providers with all applicable payors.
- Maintain credentialing timelines to avoid lapses in participation or reimbursement.
- Serve as the primary point of contact with payors for credentialing-related inquiries, follow-ups, and issue resolution.
- Maintain accurate provider and entity data in credentialing systems, CAQH, and internal databases.
Hospital Medical Staff Privileging
- Provide administrative support for hospital medical staff credentialing and privileging processes.
- Compile, submit, and track required documentation for initial and ongoing privileges.
- Monitor expiration dates and renewal cycles to ensure continuous compliance with hospital and regulatory requirements.
- Coordinate communication between providers, hospitals, and internal stakeholders related to privileging status.
Payor Contract Financial Analysis Support
- Assist with the financial review and analysis of payor contracts in coordination with the Director of Revenue Cycle and the VP of Government Relations.
- Support evaluation of reimbursement methodologies, rate structures, and contract terms.
- Help prepare summaries, comparisons, and impact analyses to inform contract negotiations and strategic decision-making.
- Maintain organized records of executed payor agreements and supporting financial documentation.
Contract Intake, Review & Dissemination
- Serve as the central point person for coordinating the intake, tracking, and dissemination of all organizational contracts (payor and non-payor).
- Manage and enforce the contract checklist process for contracts entering or exiting the organization, ensuring appropriate review and approvals.
- Coordinate with legal, finance, compliance, operations, and executive leadership to ensure contracts move efficiently through the review process.
- Maintain a centralized contract repository with accurate status tracking, key dates, and version control.
- Support contract renewals, amendments, and terminations by monitoring deadlines and notifying stakeholders.
What You'll Need
- Bachelor's degree in Accounting, Finance, Economics, or Healthcare Administration with a strong accounting or financial analysis foundation.
- 2+ years of experience in a financial analyst, contracting analyst, revenue cycle, or healthcare finance-adjacent role with demonstrable analytical responsibility. Experience in public accounting, internal audit, FP&A, revenue integrity, or healthcare finance.
- Ability to understand and communicate effectively and professionally in reading, writing, and speaking the English language.
Benefits
- Medical, dental, and vision insurance
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Employee Assistance Program (EAP)
- 403(b) retirement plan with company match
- Life and disability insurance
- Paid Time Off (PTO)
Make a Difference Every Day at ChildServe
- ChildServepartners with families to help children with special healthcare needs live agreatlife.
- ChildServeis a leading pediatric healthcare provider with Iowa's only children's specialty hospital, offering a variety of services and programs to meet each child's unique needs.
- ChildServe'sfour key specialty areas include: complex medical care, pediatric rehabilitation, autism and behavioral health, and community-based services. With a coordinated approach to care delivery, services are interwoven and streamlined, so families can address their child's needs in one location.
- Established in 1928, ChildServeproudly provides more than 30 pediatric specialty services to nearly 6,000 children in Iowa each year.
ChildServeis committed to working with and providing reasonableaccommodationsto applicants with disabilities. To request assistance with the application process, please emailcareers@childserve.org. ChildServeis an Equal Opportunity Employer.
What ChildServe employees say
Pay
Benefits
Hours and flexibility
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About ChildServe
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Johnston, IA, US
Year founded
1928