Payer Relations Contracting Manager

Summit Spine
  • Lawrenceville, Georgia
  • Remote
    30+ days ago

    Job Description

    Company Overview:
    Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management group practice providing integrated clinical, surgical, and imaging services. With clinic locations across Georgia, North Carolina, South Carolina, and Tennessee, our care teams include Integrated Pain Solutions in North Carolina and Savannah Pain Management in Georgia, all operating as part of the SSJC organization. As one of the largest single-specialty practices in the nation, we are committed to collaboration, high-quality patient-centered care, and supporting our teams as we continue to expand. We are seeking motivated, qualified professionals to join us in delivering exceptional care across our growing network. 
     
    Summary of Position:
    Responsible for developing, negotiating, implementing, and maintainingpayer contracts including but not limited to commercial, Medicare Advantage, Medicaid, and employer health plan contracts. This position would report to the RCM Director and work closely with third-party contracting specialists, finance, credentialing, anddevelopment teams, as well as executive management to maximize reimbursement while maintaining strong payer relationships.
     
    This position is based out of our Lawrenceville administrative office and is structured as a hybrid role. Remote opportunities may be considered for highly qualified candidates.
     
    Responsibilities:
    • Identify contracting opportunities with commercial insurers.
    • Oversee third-party contracting services, negotiating reimbursement rates and contract language.
    • Analyze fee schedules and reimbursement methodologies.
    • Model the financial impact of proposed agreements with the assistance of third-party analysts.
    • Maintain relationships with payer provider representatives.
    • Coordinate with provider credentialing and network enrollment teams.
    • Manage contract renewals and renegotiations.
    • Track contract expiration dates and required notice periods.
    • Review policy updates for potential amendments.
    • Prepare reports and recommendations for executive leadership.
    Skills And Experience:

    Required:

    • Relationship management.
    • Project management.

    Preferred:

    • Financial analysis.
    • Contract interpretation and negotiation.
    • Advanced Excel and data analysis skills.
    • 5–10+ years of healthcare contracting experience negotiating with major commercial payers, preferably within a multi-state practice or ambulatory surgery center (ASC) setting.
     

    Numbers & Facts

    LocationLawrenceville, Georgia (
    Remote
    )
    Websitehttps://www.summitspine.com/careers/

    Skills

    • Analysis Skillsunmatched
    • Contract Managementunmatched
    • Contract Negotiationunmatched
    • Data Analysisunmatched
    • Fee Scheduleunmatched
    • Financeunmatched
    • Financial Analysisunmatched
    • Financial Modelingunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Reimbursementunmatched
    • Leadershipunmatched
    • Medicaidunmatched
    • Medicareunmatched
    • Negotiation Skillsunmatched
    • Pain Managementunmatched
    • Project/Program Managementunmatched
    • Provider Credentialingunmatched
    • Quality of Careunmatched
    • Reimbursementunmatched
    • Relationship Managementunmatched
    • Reporting Skillsunmatched
    • Sales Managementunmatched
    • Team Buildingunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder