Job Description:

The Payer Contracting Sr Manager is responsible for effective management of assigned payer contracts, including supporting contract negotiations and relationships. The leader manages all aspects of assigned payer contracts, including contract management, relationship management, dispute resolution, rate negotiation, and internal coordination.



This position is based in Colorado. Candidates who live in, or are willing to relocate to Colorado and are within a reasonable commuting distance to an Intermountain Health care site are preferred.​ 

Essential Functions

Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management.Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities.Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices.Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees.  Establishes and maintains effective long-term relationships with highly aligned payers.Coordinates with Finance and Revenue Cycle leadership for the implementation of risk-based contracting, and proactive care, strategies and initiatives.Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency.Provides leadership and mentorship to Payer Contracting Managers.

Skills

Contracting StrategiesHealthcare ContractsNegotiationsPayer ContractingProactive CareRisk-based ContractingRelationship ManagementManaged CareLegal PracticesLeadership

Qualifications

Required

Experience leading and supporting complex negotiations. Experience in a professional role that requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.Experience leading teams, including cross-functional teams.Demonstrated experience mentoring teams and caregivers.

Preferred

Five years of experience in the health care industry or health insurance industry.Five years of professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation, and verbal presentations.Five years of experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction.Five years of experience in contract writing, negotiating, and managing.Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting.HIAA I & II Certification.Experience in corporate/legal setting.Experience using medical terminology.

Additional Information

This is an exempt, full-time position. Pay offers are determined by prior years of relevant experience within the established pay range. In addition to the annual salary, to show our commitment to you and assist with your transition,, we may offer a sign-on and relocation bonus when applicable. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals. 

Physical Requirements:

Qualifications

Required

Experience leading and supporting complex negotiations. Experience in a professional role that requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner.Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details.Experience leading teams, including cross-functional teams.Demonstrated experience mentoring teams and caregivers.

Preferred

Five years of experience in the health care industry or health insurance industry.Five years of professional experience in a role requiring extensive writing, analysis, contract management, customer service project management, negotiation, and verbal presentations.Five years of experience in a role requiring management of projects and accountabilities from inception to conclusion in an effective and comprehensive manner that appropriately evaluates implications and results in solid solutions, securing beneficial results that add value and contribute to strategic direction.Five years of experience in contract writing, negotiating, and managing.Working knowledge of health plan, integrated delivery system, and clinically integrated network contracting.HIAA I & II Certification.Experience in corporate/legal setting.Experience using medical terminology.

Physical Requirements

Ability to travel on a frequent basis to negotiate contracts with payers.Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.May be expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$58.62 - $90.48

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.