FreshRemote.Work

Payor Contract Manager

Remote

Job Type Full-time Description

About Us

Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring our team to create an everlasting bond with our patients, our doctors, and our community. But it’s not just what we do, it’s who we are. We are driven by our mission to continually invest in our people and offer the best workplace environment possible.


About The Role

Metro PT is looking for an experienced Payor Contract Manager to join our team! This position will be responsible for managing the contracting life cycle, including but not limited to: the negotiation and execution of contracts with payors, building & maintaining payor relationships and delivering competitive rates. This position is 100% remote eligible! 

If you’re a self-starter who enjoys working in a collaborative environment where you’ll have the opportunity to make an impact on a fast-growing healthcare company, we want to hear from you!


Role & Responsibilities

  • Lead contract negotiations and executions with healthcare payors, ensuring optimal terms and reimbursement rates.
  • Build and sustain strong relationships with payor organizations to ensure alignment with the company’s strategic goals.
  • Analyze payor contracts and reimbursement models to identify opportunities for improvement and optimization.
  • Collaborate with internal stakeholders, to ensure contract terms align with regulatory requirements and organizational objectives.
  • Monitor payor performance based on contractual obligations and key performance indicators, addressing any discrepancies or issues proactively.
  • Stay current on industry trends, regulatory updates, and best practices in healthcare regulations, and incorporate this knowledge into contract strategies and negotiations.
  • Offer guidance and support to team members engaged in contract management and negotiation processes.

What We Offer!

  • Unlimited Vacation & Paid Time Off Benefits
  • 401(k) with company match 
  • Health Insurance/Dental/Vision
  • Flexible Spending
  • Free Life Insurance
  • NY 529 College Savings Program
  • Employee discount programs
  • And much more!
Requirements
  • Bachelor’s Degree in Business/Finance/Math/Healthcare Administration preferred, or Equivalent work experience required.
  • At least 3-5 years of healthcare contracting experience, preferably in the physical therapy space.
  • Comprehensive understanding of healthcare reimbursement models and payor contract terms, including adjusted/unadjusted Medicare fee schedules, Per Visit Rate, Value Based, Bundle, Fee for Service, etc.
  • Proven success in negotiating contracts with healthcare payors, securing favorable outcomes for the organization.
  • Strong analytical skills, with the ability to interpret complex contract terms and financial data.
  • Excellent written & verbal communication and interpersonal abilities, capable of building relationships and influencing stakeholders at all organizational levels.
  • Highly detail-oriented and organized, with the capacity to manage multiple projects and priorities efficiently.
  • Experience integrating new acquisitions & working with IPA’s.
  • Knowledge of healthcare regulatory standards and compliance requirements.
  • Advanced Microsoft & CLM software experience a plus.
  • Highly prefer experience & established relationships with payors in the following markets: New York/Long Island & NYC/Burroughs, CT, RI and FL.
Salary Description $75,000-$85,000 Apply

Job Profile

Benefits/Perks

401(k) with match Employee Discounts Flexible Spending Free life insurance Health insurance Unlimited Vacation

Tasks
  • Analyze payor contracts
  • Build payor relationships
  • Manage contracting life cycle
  • Monitor payor performance
  • Negotiate contracts with payors
  • Stay current on industry trends
Skills

Analytical CLM Software Communication Contract Negotiation Healthcare reimbursement Interpersonal Microsoft Organization Project Management Regulatory Compliance

Experience

3 - 5 years

Education

Bachelor's degree Equivalent

Timezones

UTC-5