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Payor Contract Manager Together Women's Health, LLC - 3.0 Grosse Pointe, MI Job Details Full-time $90,000 - $115,000 a year 11 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Data integrity assurance Contract documentation review Contract review Data analysis reporting Financial model construction Medicare Contract law compliance support experience Legal negotiation Managed care organization experience Bachelor's degree in finance Spreadsheets Healthcare Administration Regulatory compliance Contract interpretation Bachelor's degree in business Performance Reporting Contract performance monitoring Mid-level Contract management experience in healthcare 3 years Finance Data integrity and documentation Analysis skills Bachelor's degree Data management Government contract management experience Financial projection model development Bachelor's degree in healthcare administration Management reporting

Medicaid Full Job Description Overview:

The Contract Manager is responsible for managing the negotiation, implementation, and ongoing maintenance of commercial and government payor agreements . This role supports organizational financial goals by ensuring favorable reimbursement terms, compliance with regulatory requirements, and alignment with strategic business objectives. The Contract Manager will serve as a key liaison between payors, leadership, revenue cycle, legal, and clinical operations to ensure contracts are optimized and accurately administered. Remote position with occasional travel to payor meetings or organizational sites as needed.

Responsibilities:

Contract Negotiation & Management Lead the negotiation, analysis, and renewal of payor agreements across commercial, government, and specialty networks. Evaluate contract terms, reimbursement methodologies, and fee schedules to ensure alignment with financial and operational goals. Maintain strong, collaborative relationships with payor representatives and internal stakeholders to facilitate ongoing communication and issue resolution. Implementation & Maintenance Coordinate with Credentialing, Billing, Revenue Cycle, and IT teams to ensure timely implementation and accurate setup of new and amended contracts. Maintain a centralized repository of contracts, fee schedules, amendments, and effective dates using contract management software. Monitor contract compliance, performance, and renewal timelines to avoid lapses and ensure data integrity. Identify and resolve contract discrepancies or payor operational issues impacting reimbursement. Analytics & Reporting Perform financial modeling and impact analysis of proposed reimbursement terms. Develop and deliver regular updates to leadership on contract performance, trends, and financial outcomes. Identify opportunities for optimization, including rate improvements, participation in value-based care programs, or alternative payment models. Stakeholder Collaboration Serve as the primary point of contact for payor contract-related matters. Collaborate with internal teams—including Operations, Revenue Cycle, and Clinical Leadership—to ensure alignment between operational execution and contract terms. Provide education and guidance to internal departments regarding key contract provisions, rate structures, and billing requirements.

Qualifications:

Education & Experience:

Bachelor's degree in business, Healthcare Administration, Finance, or related field required. Minimum 3-5 years of experience in payor contracting, healthcare reimbursement, or managed care required . Demonstrated success negotiating and managing payor agreements strongly preferred. Knowledge of value-based care, risk arrangements, and government programs (Medicare, Medicaid) is desirable.

Skills & Competencies:

Proven negotiation and relationship management skills. Strong analytical and financial modeling abilities with attention to detail. Excellent written and verbal communication skills. Proficiency in Microsoft Excel and contract management tools. Detail-oriented with strong problem-solving skills. Why Together Women's Health (TWH)? Because we do things a bit differently here. We're a rapidly growing network of OBGYN clinics, and while it's important to know what we are, it's more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWG is a place where careers thrive for those who believe the right team can achieve anything. What's in it for you? We offer competitive compensation, a comprehensive benefits package including medical, dental, vision, PTO, and generous 401K plan...not to mention a team of smart and friendly coworkers! Together Women's Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Together Women's Health is an equal opportunity employer. Hiring decisions are administered without regard to race, color, creed, religion, sex, pregnancy, sexual orientation, gender identity, age, national origin, ancestry, citizenship status, disability, veteran status, genetic information, or any other basis protected by applicable federal, state, or local law. We embrace diversity and are committed to creating an inclusive environment for all employees.