OrthoVirginia
Manager, Healthcare Contracts
Remote VA, USA · Part-time
Sponsorship not specified$83k-$125kDetected 9 days ago
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Lottery odds (Level II)66
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About the role
- Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.
- The Healthcare Contracts Manager is responsible for leading the development, negotiation, implementation, and ongoing management of all healthcare payer contracts.
Responsibilities
- Develop, negotiate, and maintain contracts with all payer types, including insurance companies, MSOs, IPAs, TPAs, and government programs.
- Lead the full contract process from pre‑contract planning through post‑signature implementation.
- Facilitate internal approval processes for all contract documents.
- 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.
- Work closely with leadership to support strategic business goals and organizational growth initiatives.
- Support contracting administration and special projects as needed.
- Ability to work independently, take initiative, and manage multiple priorities in a fast‑paced environment.
Requirements
- The ideal candidate is highly detail-oriented, analytical, and proactive, with a proven ability to thrive in a fast-paced environment.
- Bachelor's degree required.
Compensation
- $83,000.00 - $124,500.00
- Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.
Benefits
- Research territories to identify gaps in payer coverage and support expansion into new markets.
- Analyze cost, utilization, and reimbursement data to support negotiation strategy and decision-making.
- Ensure staff are informed of payer medical policy changes, billing requirements, and reimbursement updates.
- Minimum 3 years of experience in healthcare contracting with hospitals, clinics, physician groups, primary care networks, or health systems.
- Strong understanding of healthcare industry operations, payer structures, and regulatory requirements.
- for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.
- Evaluate fee schedules annually to identify opportunities for expanded services, reimbursement adjustments, and policy updates.
Company info
- At OrthoVirginia, you're part of a team dedicated to delivering expert orthopedic and therapy care across the state.
- As Virginia's largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.
- Join us and become part of a trusted network committed to excellence in orthopedic care.
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This listing is sourced directly from OrthoVirginia's careers page and normalized into a canonical job model.