[Hiring] Manager, Payer Contracting @Brault

Role Description

The Payer Contract Specialist is responsible for supporting the negotiation, implementation, and management of payer contracts to ensure optimal reimbursement and compliance. This role analyzes contract terms, evaluates reimbursement methodologies, monitors payer performance, and collaborates with internal stakeholders to ensure accurate interpretation and execution of payer agreements.

Qualifications

• Intermediate skills in Microsoft Outlook, Excel, PowerPoint, and Word.
• Proficient with Adobe.
• Effective written and verbal communication skills.
• Experience with Laserfiche (document storage) preferred but not required.
• Knowledge of healthcare payer contracting, including commercial and government payers (Medicare, Medicaid, managed care).
• Knowledge of payer contract terms, fee schedules, amendments, notices, and termination provisions.
• Knowledge of payer policies, coverage determinations, and regulatory requirements affecting reimbursement.
• Knowledge of data analysis and financial reporting related to contract performance and payer behavior.
• Experience with revenue cycle operations, including billing, coding, payment posting, underpayment analysis, clearinghouse, and appeals.
• Working knowledge of practice management or EHR systems, preferably Athena IDX, payer contract modules.
• Familiarity or experience with Payer Price or similar payer rate transparency tool.
• Proven track record of successful payer contracting negotiations.
• Ability to analyze, evaluate, and apply knowledge of market and healthcare trends to effectively convey the value of a contract.

Requirements

• Bachelor's degree in a related field such as healthcare administration or business preferred.
• 3–5 years of experience in revenue cycle management, managed care, or a related healthcare financial role, with 2+ years’ experience in healthcare payer contracting.
• As this is a role that covers the entire corporation, travel may include trips within the US and overnight travel should be expected. Travel expectations would be 10-15% of the time for client visits, conferences, and other industry-related events.

Company Description