Payor Relations Manager
$90k - $115kTalentLNX LLC
- Payor Relations ManagerManaged Care & Clinical ProgramsTampa, FloridaMay 18, 2026$90,000 - $115,000 / yearFull TimeApplication ends: **June 26, 2026**Apply Now### Job Description**Location:** Tampa, FL (Greater Metro Area)We are seeking a **Payor Relations Manager** to support managed care contracting, payer strategy, and reimbursement optimization efforts for a large healthcare provider organization. This role is responsible for managing payer relationships, negotiating contracts, analyzing reimbursement performance, and supporting long-term managed care strategy initiatives.This position is ideal for a healthcare contracting professional with strong negotiation experience, financial acumen, and the ability to balance revenue optimization with long-term payer partnership development.**Responsibilities:*** Manage day-to-day relationships with commercial, Medicare Advantage, and Medicaid managed care payer representatives* Lead contract negotiations for new agreements and renewals, advocating for favorable rates, terms, and administrative provisions* Analyze contract performance against benchmarks and identify underpayment trends requiring payer escalation* Resolve high-dollar reimbursement disputes and coordinate payer-provider joint operating committee meetings* Monitor payer policy changes, network adequacy requirements, and value-based contract milestones* Collaborate with revenue cycle, finance, and legal teams on contract loading, fee schedule implementation, and compliance* Develop and maintain a payer contract database with key terms, renewal dates, and performance metrics* Prepare executive summaries on market trends, payer mix shifts, and competitive contract intelligence* Support value-based contract management including quality metric tracking, shared savings calculations, and incentive reconciliation* Negotiate single case agreements and letter of agreement terms for out-of-network situations* Manage payer credentialing and network participation status for the organization and its providers* Track legislative and regulatory changes impacting payer reimbursement and communicate strategic implications to leadership* Represent the organization at payer advisory councils, industry conferences, and market forums* Develop annual payer strategy recommendations including contract priorities, market positioning, and competitive analysis**Qualifications:*** Bachelor’s degree in Healthcare Administration, Business, or Finance required; MBA or MHA preferred* Minimum 5 years of experience in managed care contracting, payer relations, or healthcare network management* Proven contract negotiation skills with demonstrated success improving reimbursement terms* Deep knowledge of Medicare, Medicaid, and commercial reimbursement methodologies* Experience with contract management systems and financial modeling tools* Strong executive communication and relationship management skills* Knowledge of value-based care contract structures including shared savings, bundled payments, and capitation* Strategic thinker with ability to balance short-term revenue goals with long-term payer partnership development**Schedule:*** Full-time position* Standard business hours* Standard full-time hours per pay period**Salary Range:** The salary range for this position is approximately $90,000 – $115,000 annually ($43.27 – $55.29 per hour), based on experience and qualifications. Relocation assistance may be available for qualified candidates.**Interview Process:*** Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.---**Equal Opportunity Employer:** TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
- J-18808-Ljbffr TalentLNX LLC
Vacancy posted 1 day ago
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