Payer Contract Manager Sr

Location: Remote, USA

Time Type: Full time

Job Description

Join a team that shares your calling 

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. 

FTE: 1.0, Shift: Day, Schedule: Day

Position Summary

The Senior Payer Contract Manager is responsible for developing and implementing contracts with third party payers on behalf of MultiCare Health System and its affiliates. This role ensures MultiCare, and our affiliates have consistent and well-functioning relationships with payers over time, in alignment with MultiCare’s vision and strategic priorities. The Manager will lead negotiations with assigned payers to include payment terms based on multiple reimbursement models, including fee-for-service payment terms, value-based payment terms, and gain/risk sharing arrangements.

The Manager serves as the lead managing the overall payer relationship, makes recommendations to Sr. Leadership on product participation, and will continually evaluate the payer relationship for opportunities to improve revenue, lower the cost of doing business, and to improve MultiCare’s access to patents. The Manager is accountable for negotiating contract language that aligns with all State and Federal laws and regulations, is consistent across payers, and does not expose MultiCare financial, legal, or operational risk to MultiCare or the payer.

Requirements

• Bachelors degree with a major in finance, Healthcare administration, or related field; or 10+ years’ experience in Payer Contracting for a Health System or Health Plan as degree equivalent
• Minimum seven (7) years of experience performing financial/medical data/payer mix analysis or contract negotiation in a healthcare environment, health system or health plan; acute care setting experience preferred
• Experience with medical and pricing terminology to include but not limited to DRG, RUG, APC, RVU, Conversion Factors

Why MultiCare? 

 

Rooted in the local community 

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. 

 

Growth and education 

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. 

 

Well-being and support 

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. 

 

Living our values 

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. 

 

Belonging for all 

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. 

 

Pacific Northwest lifestyle 

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $101,545.60 - $146,140.80 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.