Payer Contracting Manager
Cardiovascular Associates of America - CVAUSA
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Lead payer contracting strategy for cardiology-focused ASCs, including interventional cardiology, electrophysiology, and cath lab services
- Negotiate commercial, Medicare Advantage, and managed care payer agreements to achieve competitive reimbursement and favorable contract terms
- Manage the full contract lifecycle, including negotiations, execution, amendments, renewals, and terminations
- Collaborate with finance and analytics teams to model reimbursement scenarios and assess financial impact of contract changes
- Ensure accurate interpretation and implementation of contract terms across revenue cycle, billing, and operational teams
- Monitor contract performance, utilization trends, expected reimbursement and payer compliance
- Serve as primary point of contact for payer representatives and internal stakeholders
- Support ASC expansion initiatives, including new service lines, payer participation, and market entry strategies
- Maintain contract documentation and data within contract lifecycle management systems
- Stay current on regulatory, reimbursement, and industry trends impacting cardiology ASCs
Requirements
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
- 5+ years of experience in healthcare payer contracting or managed care
- Demonstrated experience negotiating ASC and cardiology-related payer contracts
- Strong understanding of reimbursement methodologies, fee schedules, and value-based arrangements
- Proven ability to collaborate cross-functionally with clinical, financial, and operational teams
- Experience with cardiovascular or cardiology-focused ASC service lines (preferred)
- Contracting experience in the Florida and Arizona markets (preferred)
- Proficient in Excel for contract modeling (preferred)
Benefits
- Remote work from home position
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
payer contractingnegotiationcontract lifecycle managementreimbursement methodologiesfee schedulesvalue-based arrangementscontract modelingfinancial impact assessmentutilization trends monitoringpayer compliance
Soft Skills
collaborationcommunicationleadershiporganizational skillscross-functional teamwork