Manager, Healthcare Contracts

OrthoVirginia

Healthcare Contracts Manager for OrthoVirginia responsible for leading payer contract management and negotiations. Collaborating with stakeholders to ensure contracts meet financial and regulatory requirements.

Posted 7/23/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $83,000 - $124,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare contracting, including negotiation, compliance with regulatory requirements, and relationship management with payers. Proficient in analyzing data to support strategic decision-making and ensuring effective communication across departments.

Highest-signal resume keywords

Healthcare Contracting ExperienceContract Negotiation SkillsPayer Relationship ManagementEpic Software ProficiencyRegulatory Compliance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract DevelopmentCost AnalysisUtilization ReviewReimbursement StrategyData Entry Accuracy

Soft Skills

Excellent Communication SkillsStrong Organizational SkillsAnalytical Problem-SolvingInterpersonal SkillsInitiative and Independence

Tools & Technologies

MS Office SuitePowerPointInternet-Based Research Tools

Industry Keywords

Healthcare OperationsPayer StructuresMedical InsuranceMSOIPATPA

About the role

Key responsibilities & impact

Develop, negotiate, and maintain contracts with all payer types, including insurance companies, MSOs, IPAs, TPAs, and government programs.
Research territories to identify gaps in payer coverage and support expansion into new markets.
Ensure all contractual arrangements meet financial targets and comply with legal and regulatory requirements.
Analyze cost, utilization, and reimbursement data to support negotiation strategy and decision-making.
Lead the full contract process from pre‑contract planning through post‑signature implementation.
Facilitate internal approval processes for all contract documents.
Ensure accuracy and completeness of all supporting documentation.
Develop and maintain systems to track critical contract events such as renewals, terminations, and key deadlines.
Maintain strong relationships with contracted providers and payer partners.
Review and update contractual language to ensure accuracy and relevance.
Evaluate fee schedules annually to identify opportunities for expanded services, reimbursement adjustments, and policy updates.
Work closely with leadership to support strategic business goals and organizational growth initiatives.
Communicate contract terms, updates, and policy changes to internal departments, especially billing and revenue cycle teams.
Ensure staff are informed of payer medical policy changes, billing requirements, and reimbursement updates.
Conduct ongoing assessments of assigned networks and recommend strategic initiatives.
Prepare bi‑weekly status reports on all contracts and contracting activities.
Ensure accurate data entry of contract terms and specifications into internal databases.
Support contracting administration and special projects as needed.

Requirements

What you’ll need

Minimum 3 years of experience in healthcare contracting with hospitals, clinics, physician groups, primary care networks, or health systems.
Bachelor’s degree required.
Strong understanding of healthcare industry operations, payer structures, and regulatory requirements.
Proven contract negotiation skills and experience managing payer relationships.
Excellent written and verbal communication skills.
Ability to work independently, take initiative, and manage multiple priorities in a fast‑paced environment.
Strong organizational, analytical, and problem‑solving skills.
Proficiency with MS Office Suite, PowerPoint, and internet-based research tools.
Experience with Epic software (required).
Experience working for a medical insurance company, MSO, IPA, or TPA.
Demonstrated ability to develop and deliver presentations to internal and external stakeholders.
Strong interpersonal skills and a track record of building effective provider partnerships.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements