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Payor Contracting Jobs (NOW HIRING)

Contracting roadmap for commercial payors, Medicaid MCOs, regional centers, school districts ... Execute on payor strategy action plans, including building cross functional action plans that ...

... contracted payors. The ideal candidate brings advanced modeling expertise and the ability to ... payor data into clear, actionable negotiation insights. Financial & Reimbursement Modeling • ...

$130 - $162/hr

Payor Contracting & Strategy:*** Support end-to-end negotiation of Medicare Advantage risk agreements, including financial terms, risk-bearing entity structures, DOFR allocations, and performance ...

Payor Contracting & Strategy: * Support end-to-end negotiation of Medicare Advantage risk agreements, including financial terms, risk-bearing entity structures, DOFR allocations, and performance ...

Payor Contracting & Strategy: * Support end-to-end negotiation of Medicare Advantage risk agreements, including financial terms, risk-bearing entity structures, DOFR allocations, and performance ...

Payor Contract Negotiator Senior

York, PA · On-site

$96K/yr

In conjunction with Director of Payor Contracting, assures that proposed, new and/or changed ... contractual programs are attainable within the organization, the contract language accurately ...

Showing results 41-60

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 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 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 is the difference between Payor Contracting vs Payor Credentialing?

AspectPayor ContractingPayor Credentialing
Required CredentialsExperience in healthcare contracts, negotiation skillsLicenses, certifications, provider credentials
Work EnvironmentContract negotiations, provider agreementsVerification of provider credentials, compliance
Employer & Industry UsageHealth insurance companies, provider networksHospitals, clinics, insurance payers
Search & Comparison IntentUnderstanding contract processes, negotiationsVerifying 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.

More about Payor Contracting jobs

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:

Infographic showing various Payor 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.

Vice President, Payor Relations-Frisco,TX

Soleo Health Inc

Dallas, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Job description

Description:

Soleo Health is seeking a Vice President of Payor Relations to lead the strategic direction, development, and execution of our national payor contracting and network management efforts, driving growth, market access, and profitability across the organization. Must be located near Frisco, TX or St. Louis, MO. Join us in simplifying complex care!


Soleo Health Perks:

  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program

The Position:

The Vice President of Payor Relations is a top executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company. This executive will play a critical role in shaping the company’s approach to healthcare contracting, sales, and network management at a national level. The Vice President will lead efforts to optimize our Payor relations strategies, ensuring they align with the company's long-term objectives and maximize profitability and return on investment. Responsibilities include:

  • Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies. 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 competitive and sustainable growth.
  • Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and regional business leaders.
  • Oversee detailed financial analyses of Payor contracts to identify trends and inform strategic decision-making. Manage budget projections for contracting sales pipelines and assess financial performance.
  • Serve as the primary executive contact for major external partners, including Managed Care Organizations, PBM’s, Health Systems and Independent Practice Associations (IPAs). Build and maintain strategic relationships to bolster business objectives.
  • Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded reimbursement in Payor agreements.
  • Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals.
  • Maintain and update the company's strategy in response to healthcare legislation changes. Act as a subject matter expert to guide Payor Relations policies and practices.


Requirements:
  • Bachelor’s degree or equivalent industry knowledge with a minimum of 10 years in Payor Relations, Contracting, Sales, and Marketing, including significant leadership experience in complex healthcare environments.
  • Proven track record of leading high-performing teams and effectively managing senior-level projects and initiatives.
  • Strong ability to establish, grow, and leverage relationships with clients to drive successful contractual outcomes.
  • Exceptional capability in analyzing complex data, identifying strategic insights, and employing them to improve business decisions and operational efficiencies.
  • Expertise in developing and delivering high-impact presentations to a variety of stakeholders, including board members and external partners.
  • High proficiency in Microsoft Office Suite and project management tools, capable of managing multiple, high-stakes projects simultaneously.
  • Willingness and ability to travel extensively, often exceeding 50% of the time, to meet business needs.

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!


Soleo’s Core Values:

  • Improve patients’ lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.


Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Keywords: Market Access Strategy, Value-Based Care, Risk-Based Contracting, Population Health Management, Enterprise Growth Strategy, Revenue Optimization, Commercial Strategy, Go-to-Market Strategy, Now hiring, hiring now