Manager, Healthcare Contracts

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.

With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.

Join us and become part of a trusted network committed to excellence in orthopedic care.

Key Responsibilities

Contract Development & Negotiation

• Develop, negotiate, and maintain contracts with all payer types, including insurance companies, MSOs, IPAs, TPAs, and government programs.
• Research territories to identify gaps in payer coverage and support expansion into new markets.
• Ensure all contractual arrangements meet financial targets and comply with legal and regulatory requirements.
• Analyze cost, utilization, and reimbursement data to support negotiation strategy and decision-making.

Contract Lifecycle Management

• Lead the full contract process from pre‑contract planning through post‑signature implementation.
• Facilitate internal approval processes for all contract documents.
• Ensure accuracy and completeness of all supporting documentation.
• Develop and maintain systems to track critical contract events such as renewals, terminations, and key deadlines.

Relationship Management

• Maintain strong relationships with contracted providers and payer partners.
• Review and update contractual language to ensure accuracy and relevance.
• Evaluate fee schedules annually to identify opportunities for expanded services, reimbursement adjustments, and policy updates.

Internal Collaboration & Communication

• Work closely with leadership to support strategic business goals and organizational growth initiatives.
• Communicate contract terms, updates, and policy changes to internal departments, especially billing and revenue cycle teams.
• Ensure staff are informed of payer medical policy changes, billing requirements, and reimbursement updates.

Reporting & Data Management

• Conduct ongoing assessments of assigned networks and recommend strategic initiatives.
• Prepare bi‑weekly status reports on all contracts and contracting activities.
• Ensure accurate data entry of contract terms and specifications into internal databases.
• Support contracting administration and special projects as needed.

Qualifications & Experience

Required:

• Minimum 3 years of experience in healthcare contracting with hospitals, clinics, physician groups, primary care networks, or health systems.
• Bachelor’s degree required.
• Strong understanding of healthcare industry operations, payer structures, and regulatory requirements.
• Proven contract negotiation skills and experience managing payer relationships.
• Excellent written and verbal communication skills.
• Ability to work independently, take initiative, and manage multiple priorities in a fast‑paced environment.
• Strong organizational, analytical, and problem‑solving skills.
• Proficiency with MS Office Suite, PowerPoint, and internet-based research tools.
• Experience with Epic software (required).

• Experience working for a medical insurance company, MSO, IPA, or TPA.
• Demonstrated ability to develop and deliver presentations to internal and external stakeholders.
• Strong interpersonal skills and a track record of building effective provider partnerships.

Compensation Range for this position:

$83,000.00 - $124,500.00

Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.

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