Manager, Payer Contracts - Remote - Nationwide

Remote, Nationwide - Seeking Payer Contracts Manager

Everybody Has A Role To Play In Transforming Healthcare

At Vituity you are part of a larger team that is driven by our purpose to improve lives.

We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.

Join the Vituity Team.

At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose.

We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities.

We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year.

With Vituity, if you ever need to move, you can take your job with you.

The Opportunity


* Responsible for oversight, coordination, and negotiation of contracting activities relating to assigned payer contracts across multiple regions and specialties.


* Makes recommendations regarding contract rates and payer contracting strategy to Director of Payer Contracts and VP of Payer Strategy.


* Manages contract cycle for all assigned agreements with current and prospective payers across multiple regions and specialties.

Prioritizes decision making on payer related issues.

Analyzes all payer issues and finds a timely solution.


* Determines appropriate language in compliance with established legal requirements and negotiates contract language in a manner consistent with Vituity's policies.

Analyzes contractual language for functional, financial, and ethical appropriateness.


* Identifies opportunities to improve financial performance through payer negotiations and communicates the status of payer negotiations to appropriate stakeholders.


* Manages payer negotiation projects which may require research such as new specialties, new states, startups, entity changes, billing company changes, etc.


* Represents Vituity in meetings and negotiations with other organizations, associations, providers, and payers regarding all aspects of payer contracts.


* Acts as subject matter expert on payers and payer reimbursement trends.

Maintains high level of expertise regarding payer and reimbursement policies.


* Reviews and assists in contract modeling, proformas, and dashboard reporting.

Evaluates utilization and financial impact by region, specialty, and/or payer.


* Consistently demonstrates capacity to manage and resolve urgent issues that arise.


* Provides backup coverage when department Director and/or Sr Manager is unavailable.

Required Experience and Competencies


* Minimum two years of ...