Payer Contracting Manager for Children's Health

Job Description The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract negotiations and relationships. This leadership role manages all aspects of assigned payer contracts, including contract management, relationship management, dispute resolution, rate negotiation, and internal coordination. This position specifically supports the Children's Health Payer Contracting in Nevada to include the Pediatric Clinically Integrated Network, the Professional and Facility contracting needed for Intermountain Health's Nevada Children's Hospital. This position can be performed remotely with business travel as needed. Intermountain Health maintains employment registration in Utah, Idaho, Nevada, Colorado, Montana, and Wyoming. Candidates in other locations may be considered. We are not hiring remote workers in CA, CT, HI, IL, NY, RI, VT, and WA. A video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. Essential Functions Manages all aspects of assigned payer relationships, including supporting contract language negotiation and management, rate and methodology research and negotiation, dispute resolution, and relationship management. Maintains ongoing expertise of all assigned contracts, including contract/amendment language and structure, rates, methodologies, and contracted providers/facilities. Ensures all contract language, documentation, negotiation, payment rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices. Represents Payer Contracting and Intermountain Health in key relationships, including leading Joint Operating Committees. Establishes and maintains effective long‑term relationships with highly aligned payers. Coordinates with Finance and Revenue Cycle leadership for the implementation of risk‑based contracting, and proactive care strategies and initiatives. Coordinates with Legal and Compliance to ensure contract accuracy, regulatory compliance, and language consistency. Provides leadership and mentorship to Payer Contracting Managers. Skills Contracting Strategies Healthcare Contracts Negotiations Payer Contracting Proactive Care Risk‑based Contracting Relationship Management Managed Care Legal Practices Leadership Required Qualifications Experience leading and supporting complex negotiations. Experience in a professional role requiring effective verbal and written communication to present advanced topics in a clear, concise, polished, and professional manner. Demonstrated ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details. Experience leading teams, including cross‑functional teams. Demonstrated experience mentoring teams and caregivers. Preferred Qualifications Proven experience in payer contracting, including full‑cycle negotiation and contract redlining. Demonstrated success negotiating pediatric or children’s health contracts, from either the provider or payer perspective. Additional Information This is an exempt, full‑time position. Pay offers are determined by prior years of relevant experience within the established pay range. In addition to the annual salary, we may offer a sign‑on and relocation bonus when applicable. Eligible to participate in the Annual Pay for Performance (AP4P) Plan, which provides an additional performance compensation opportunity. Ability to travel on a frequent basis to negotiate contracts with payers. Ongoing need to see and read information, documents, monitors, identify equipment and supplies, and assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require verbal communication and listening skills. Manual dexterity of hands and fingers to manipulate complex equipment with precision and accuracy, including frequent computer use for typing and accessing information. May be expected to drive a vehicle, requiring the ability to sit, see, read signs, traffic signals, and other vehicles. Location Nevada Central Office Work City Las Vegas Work State Nevada Scheduled Weekly Hours 40 Hourly Rate $58.62 - $90.48 We care about your well‑being – mind, body, and spirit – and provide a comprehensive benefits package covering a wide range of programs to foster a sustainable culture of wellness. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. All positions are subject to close without notice. #J-18808-Ljbffr Intermountain Health