Payor Contract Manager

Payor Contract Manager @ Midi Health 💼💪

You will manage all aspects of health insurance contracts, from initial application through ongoing maintenance and compliance. This role involves close collaboration with payors and internal teams to ensure that contractual agreements align with the organization’s strategic goals, financial objectives, and compliance standards. As a Payor Contract Manager, you'll work in a fast-paced environment where your expertise will directly impact the organization’s success and financial sustainability. Our team is highly collaborative and committed to creating efficient, high-impact relationships with our payor partners. Your expertise will help guide the organization toward better contract terms, reducing risk, and improving reimbursement outcomes.

This job is “HOT”: 🔥

• Lead all aspects of payor contract management— from negotiation to compliance.
• Collaborate with finance, billing, and clinical teams to drive successful contract implementation and execution.
• Build and nurture strong relationships with health payors to resolve disputes and optimize terms.
• Ensure compliance with healthcare regulations, contract milestones, and deadlines.
• Drive strategic initiatives to secure favorable contract terms and ongoing renewals.

Business Impact - Not just surviving but thriving 📈

• Contribute to the organization's strategic and financial goals by securing optimal contract terms with payors.
• Mitigate risks and ensure regulatory compliance across all payor contracts.
• Support financial and operational objectives by streamlining contract management processes and working across departments to ensure smooth contract execution.
• Enhance payer relationships and improve contract performance, driving better reimbursement rates and reducing disputes.

What You Will Need to Succeed: 🌱

• Experience: Minimum of 5 years in health payor contracting, contract management, or provider relations—preferably within a telehealth/healthcare organization or health plan.
• Degree: Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field. Master’s degree or relevant certification (e.g., Certified Healthcare Contract Manager) is a plus.
• Knowledge: Deep understanding of health insurance policies, healthcare reimbursement, regulatory requirements, and provider credentialing.
• Skills: Strong negotiation, communication, and interpersonal skills.
• Analytical ability: Exceptional attention to detail and the ability to assess financial impacts, track contract milestones, and analyze contract performance.
• Proactive approach: Experience managing complex contracts, resolving issues, and optimizing contract terms across multiple stakeholders.

The Interview Process Will Include: 📚

• Recruiter Interview (30 min Zoom)
• Hiring Manager Interview (30 min Zoom)
• Final Department Leader Interview (30 min Zoom)

What We Offer:

• 100% remote opportunity* + Work-From-Home stipend
• Annual salary of $80K–$100K, dependent on specialized experience
• Comprehensive benefits (medical, dental, vision, 401k)
• Flexible vacation
• Paid holidays