Payor Contract Manager

Job Description

Job Description

Company Description

About Valley Medical Center & Clinics

Founded in 1947, Valley Medical Center & Clinics (VMCC) is the oldest and largest public hospital district in Washington state and the largest nonprofit healthcare provider in South King County. Valley serves more than 600,000 residents through a comprehensive network of more than 50 primary, urgent, and specialty care clinics across South King County, and a 341-bed acute care hospital located in Renton. As a Level III Trauma Center, Valley provides advanced emergency, medical, surgical, and specialty care, including cancer treatment, heart and vascular services, neurosciences, orthopedics, stroke and spine care, childbirth and neonatal services, and critical care. Guided by our mission of caring for our community like family, Valley is committed to improving the health and well-being of the vibrant communities we serve through accessible, compassionate, high-quality care. Learn more at valleymed.org.

Job Description

The Payor Contract Manager plays a vital role in supporting the continued growth and evolution of Valley Medical Center's Managed Care team. The position serves as a key liaison between Payor Contracting and Revenue Cycle, Finance, Credentialing, and other internal stakeholders to facilitate effective contract implementation, maintain contract records and payer relationships, monitor contract compliance and performance, resolve contract-related issues, and support operational excellence.

Qualifications

Prerequisites

1. Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or related field, or equivalent combination of education and relevant experience, required.
2. Minimum of 5 years’ experience in healthcare contract administration, managed care, provider and payor relations, required. Hospital Payor Contract Experience preferred. 
3. Working knowledge of managed care contracting processes, payor reimbursement methodologies, and contract lifecycle management.
4. Proficiency with Microsoft Office Suite and Adobe Acrobat.
5. Proficient in reviewing contract language and identifying discrepancies or operational impacts.

General Qualifications

1. Excellent organizational and project management skills with the ability to manage competing priorities and consistently meet deadlines.
2. Strong verbal and written communication skills, enabling effective collaboration with cross-functional and multidisciplinary teams.
3. Demonstrated analytical and problem-solving skills with strong attention to detail and accuracy.
4. Self-motivated and able to work independently while contributing effectively as a collaborative team member.
5. Ability to maintain confidentiality and exercise sound judgment when handling sensitive and confidential information.

Additional Information

Come Join Valley!

Equal Employment Opportunity

Valley Medical Center & Clinics is committed to equal employment opportunity (EEO) and nondiscrimination in all aspects of employment and participation in its programs. 

We do not provide sponsorship opportunities at this time.

• Valley Medical Center & Clinics participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.