POSITION SUMMARY: The Payer Relations Manager is responsible for managing relationships with payers, supporting contract negotiations, and ensuring compliance with regulations to optimize revenue cycle operations. This role also plays a critical part in BVEP’s integrations processes by evaluating fee schedules and contract rates for business entities exploring partnership with BVEP.
This position is eligible for Remote Work.
WHAT WE OFFER: • Starting salary of $80,000 - $90,000 based on previous experience • 6.5 paid holidays per year + 2 Floating holidays • Approximately 10 days of PTO within first year • Full slate of benefits to include health, dental, vision, and 401k
ESSENTIAL RESPONSIBILITIES: • Oversee the full life cycle of managed care contracts, including organization, compliance, and supporting all negotiations • Serve as the primary point of contact for payer representatives, addressing and resolving issues related to enrollment, underpayments, and billing challenges • Build and maintain strong relationships with key stakeholders at health plans to promote collaboration and resolve systemic issues • Collaborate with internal teams to ensure alignment on payer strategies and resolution of issues • Analyze market trends, payer policy changes, and coverage landscape to proactively adapt strategy • Develop and manage the repository of payer and contract specific resources and documentation to support internal teams and providers • Review and evaluate fee schedules and contracts of newly partnered practices to evaluate reimbursement opportunities • Ensure that the billing systems are updated with the appropriate fees and rates • Perform other duties as assigned
EDUCATION, EXPERIENCE, AND CERTIFICATION: • Bachelor’s degree in Business, Healthcare Administration or related degree required. • 5+ years of experience in payer relations, market access, and/or managed care within the healthcare industry required. • Demonstrated computer skills, including Microsoft Office with advanced Excel capabilities
COMPETENCIES: • Strategic Relationship Management • Advanced Communication Skills • Influence & Negotiation Skills • Cross-Functional Collaboration • Process Improvement • Independent Judgement • Accountability • Project & Time Management • Managed Care Contract Knowledge • Revenue Cycle Acumen • Data Analysis • Professional Integrity
PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
Physical Demands:
• Sedentary work requiring prolonged periods of sitting at a computer workstation
• Regular use of hands and fingers for keyboarding and other standard office equipment
• Ability to communicate effectively through verbal and written means
• Ability to hear and understand spoken information in-person and via electronic means
• Visual acuity to ensure the accuracy of work performed on screens and in documents
• Ability to maintain focus and attention to detail for extended periods Work Environment: This position is based in a professional office and/or remote office setting that consists of a climate-controlled indoor environment with standard office noise levels that utilizes computers, phones, and related technology. Reasonable accommodations may be provided to qualified individuals with disabilities to enable performance of essential job functions, in accordance with applicable laws.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
This position is eligible for Remote Work.
WHAT WE OFFER: • Starting salary of $80,000 - $90,000 based on previous experience • 6.5 paid holidays per year + 2 Floating holidays • Approximately 10 days of PTO within first year • Full slate of benefits to include health, dental, vision, and 401k
ESSENTIAL RESPONSIBILITIES: • Oversee the full life cycle of managed care contracts, including organization, compliance, and supporting all negotiations • Serve as the primary point of contact for payer representatives, addressing and resolving issues related to enrollment, underpayments, and billing challenges • Build and maintain strong relationships with key stakeholders at health plans to promote collaboration and resolve systemic issues • Collaborate with internal teams to ensure alignment on payer strategies and resolution of issues • Analyze market trends, payer policy changes, and coverage landscape to proactively adapt strategy • Develop and manage the repository of payer and contract specific resources and documentation to support internal teams and providers • Review and evaluate fee schedules and contracts of newly partnered practices to evaluate reimbursement opportunities • Ensure that the billing systems are updated with the appropriate fees and rates • Perform other duties as assigned
EDUCATION, EXPERIENCE, AND CERTIFICATION: • Bachelor’s degree in Business, Healthcare Administration or related degree required. • 5+ years of experience in payer relations, market access, and/or managed care within the healthcare industry required. • Demonstrated computer skills, including Microsoft Office with advanced Excel capabilities
COMPETENCIES: • Strategic Relationship Management • Advanced Communication Skills • Influence & Negotiation Skills • Cross-Functional Collaboration • Process Improvement • Independent Judgement • Accountability • Project & Time Management • Managed Care Contract Knowledge • Revenue Cycle Acumen • Data Analysis • Professional Integrity
PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
Physical Demands:
• Sedentary work requiring prolonged periods of sitting at a computer workstation
• Regular use of hands and fingers for keyboarding and other standard office equipment
• Ability to communicate effectively through verbal and written means
• Ability to hear and understand spoken information in-person and via electronic means
• Visual acuity to ensure the accuracy of work performed on screens and in documents
• Ability to maintain focus and attention to detail for extended periods Work Environment: This position is based in a professional office and/or remote office setting that consists of a climate-controlled indoor environment with standard office noise levels that utilizes computers, phones, and related technology. Reasonable accommodations may be provided to qualified individuals with disabilities to enable performance of essential job functions, in accordance with applicable laws.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.