Payer Relations Contracting Specialist

Payer Relations Contracting Specialist

Addison Group is seeking a Payer Relations Contracting Specialist on behalf of our client for a direct hire opportunity within a rapidly growing healthcare organization. This newly created role will lead payer contracting efforts across multiple ambulatory surgery centers and healthcare facilities, supporting ongoing expansion initiatives and strategic growth.

This is an excellent opportunity for an experienced healthcare contracting professional who thrives in a fast-paced environment and enjoys combining contract negotiation, relationship management, and financial analysis to drive organizational success.

Key responsibilities include managing and overseeing payer contracting activities across multiple healthcare facilities and service lines, leading negotiations for commercial, Medicare Advantage, Medicaid, and other payer agreements, reviewing and analyzing fee schedules, reimbursement methodologies, and contract language, monitoring third-party contracting vendors to ensure timely submissions, renewals, and negotiations, evaluating the financial impact of proposed contracts and reimbursement structures, maintaining strong working relationships with payer representatives and network contacts, coordinating closely with credentialing, revenue cycle, finance, and operational teams, tracking contract renewals, expiration dates, and required notification periods, reviewing payer policy updates and identifying opportunities for contract amendments, preparing reports, presentations, and recommendations for leadership and executive stakeholders, supporting integration efforts related to acquisitions, newly added facilities, and network expansion, and identifying strategic opportunities to improve reimbursement and strengthen payer relationships.

Requirements include a minimum of 5 years of payer contracting experience on the provider side of healthcare, strong background negotiating and managing healthcare payer agreements, experience with ambulatory surgery centers (ASC) required, experience supporting multiple facilities, locations, or multi-state operations preferred, demonstrated success negotiating reimbursement rates and contract terms, strong understanding of fee schedules, reimbursement methodologies, and contract interpretation, experience managing contract renewals, amendments, and payer relationships, advanced Microsoft Excel skills and strong analytical capabilities, excellent organizational skills with exceptional attention to detail, strong communication and presentation skills with the ability to interact with executive leadership, and the ability to manage multiple projects and deadlines independently.

Preferred qualifications include experience supporting healthcare acquisitions, mergers, or facility integrations, bachelor's degree in business, healthcare administration, finance, or a related field, experience within large specialty practices, surgery centers, or multi-site provider organizations, financial modeling and reimbursement analysis experience, and background overseeing third-party contracting firms or consulting partners.

Addison Group is an equal opportunity employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Reasonable accommodation is available for qualified individuals with disabilities, upon request.