Payor Contract Manager

Posted 5 Days Ago
Hiring Remotely in USA
Remote
Senior level
Healthtech
The Role
As a Payor Contract Manager, you will oversee health insurance contracts, ensuring compliance and alignment with organizational goals. The role requires collaboration with various internal teams and payors, negotiation of contract terms, and risk mitigation to enhance reimbursement outcomes.
Summary Generated by Built In

Payor Contract Manager @ Midi Health 💼💪

You will manage all aspects of health insurance contracts, from initial application through ongoing maintenance and compliance. This role involves close collaboration with payors and internal teams to ensure that contractual agreements align with the organization’s strategic goals, financial objectives, and compliance standards. As a Payor Contract Manager, you'll work in a fast-paced environment where your expertise will directly impact the organization’s success and financial sustainability. Our team is highly collaborative and committed to creating efficient, high-impact relationships with our payor partners. Your expertise will help guide the organization toward better contract terms, reducing risk, and improving reimbursement outcomes.

This job is “HOT”: 🔥

  • Lead all aspects of payor contract management— from negotiation to compliance.
  • Collaborate with finance, billing, and clinical teams to drive successful contract implementation and execution.
  • Build and nurture strong relationships with health payors to resolve disputes and optimize terms.
  • Ensure compliance with healthcare regulations, contract milestones, and deadlines.
  • Drive strategic initiatives to secure favorable contract terms and ongoing renewals.

Business Impact - Not just surviving but thriving 📈

  • Contribute to the organization's strategic and financial goals by securing optimal contract terms with payors.
  • Mitigate risks and ensure regulatory compliance across all payor contracts.
  • Support financial and operational objectives by streamlining contract management processes and working across departments to ensure smooth contract execution.
  • Enhance payer relationships and improve contract performance, driving better reimbursement rates and reducing disputes.

What You Will Need to Succeed: 🌱

  • Experience: Minimum of 5 years in health payor contracting, contract management, or provider relations—preferably within a telehealth/healthcare organization or health plan.
  • Degree: Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field. Master’s degree or relevant certification (e.g., Certified Healthcare Contract Manager) is a plus.
  • Knowledge: Deep understanding of health insurance policies, healthcare reimbursement, regulatory requirements, and provider credentialing.
  • Skills: Strong negotiation, communication, and interpersonal skills.
  • Analytical ability: Exceptional attention to detail and the ability to assess financial impacts, track contract milestones, and analyze contract performance.
  • Proactive approach: Experience managing complex contracts, resolving issues, and optimizing contract terms across multiple stakeholders.

The Interview Process Will Include: 📚

  • Recruiter Interview (30 min Zoom)
  • Hiring Manager Interview (30 min Zoom)
  • Final Department Leader Interview (30 min Zoom)

What We Offer:

  • 100% remote opportunity* + Work-From-Home stipend
  • Annual salary of $80K–$100K, dependent on specialized experience
  • Comprehensive benefits (medical, dental, vision, 401k)
  • Flexible vacation
  • Paid holidays
The Company
HQ: Menlo Park, CA
39 Employees
On-site Workplace
Year Founded: 2021

What We Do

Meet Midi: The only virtual care platform focused on female midlife health. Our care is designed by world class experts in perimenopause, menopause, and more. Everything we do serves our mission—to help women feel strong and healthy through a critical chapter of their lives and careers.

We take a holistic approach to improve the symptoms of midlife hormone change, based on every woman’s health history, lifestyle, and genetics. Our customized Care Plans include:

- Prescription hormonal and non-hormonal medications (including HRT)
- Lifestyle coaching and wellness therapies
- Supplements and botanicals
- Specialized care paths for cancer survivors and those at risk

Midi visits and prescriptions are covered by most PPO insurance plans. We also integrate with employers and the entire benefits ecosystem to offer a fully-reimbursed medical program, because we believe great care should be accessible AND affordable.

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