All roles

Open role

Payor Contract Manager

Remote · Peru Full-time

The Contract Manager is responsible for managing the negotiation, implementation, and ongoing maintenance of commercial and government payor agreements. This role supports organizational financial goals by ensuring favorable reimbursement terms, compliance with regulatory requirements, and alignment with strategic business objectives. The Contract Manager will serve as a key liaison between payors, leadership, revenue cycle, legal, and clinical operations to ensure contracts are optimized and accurately administered.

Remote position with occasional travel to payor meetings or organizational sites as needed.

  • Contract Negotiation & Management
    • Lead the negotiation, analysis, and renewal of payor agreements across commercial, government, and specialty networks.
    • Evaluate contract terms, reimbursement methodologies, and fee schedules to ensure alignment with financial and operational goals.
    • Maintain strong, collaborative relationships with payor representatives and internal stakeholders to facilitate ongoing communication and issue resolution. 
  • Implementation & Maintenance
    • Coordinate with Credentialing, Billing, Revenue Cycle, and IT teams to ensure timely implementation and accurate setup of new and amended contracts.
    • Maintain a centralized repository of contracts, fee schedules, amendments, and effective dates using contract management software.
    • Monitor contract compliance, performance, and renewal timelines to avoid lapses and ensure data integrity.
    • Identify and resolve contract discrepancies or payor operational issues impacting reimbursement. 
  • Analytics & Reporting
    • Perform financial modeling and impact analysis of proposed reimbursement terms.
    • Develop and deliver regular updates to leadership on contract performance, trends, and financial outcomes.
    • Identify opportunities for optimization, including rate improvements, participation in value-based care programs, or alternative payment models.
  • Stakeholder Collaboration
    • Serve as the primary point of contact for payor contract-related matters.
    • Collaborate with internal teams—including Operations, Revenue Cycle, and Clinical Leadership—to ensure alignment between operational execution and contract terms.
    • Provide education and guidance to internal departments regarding key contract provisions, rate structures, and billing requirements.

Education & Experience

  • Bachelor's degree in business, Healthcare Administration, Finance, or related field required.
  • Minimum 3–5 years of experience in payor contracting, healthcare reimbursement, or managed care required.
  • Demonstrated success negotiating and managing payor agreements strongly preferred.
  • Knowledge of value-based care, risk arrangements, and government programs (Medicare, Medicaid) is desirable.

Skills & Competencies

  • Proven negotiation and relationship management skills.
  • Strong analytical and financial modeling abilities with attention to detail.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Excel and contract management tools.
  • Detail-oriented with strong problem-solving skills.

Why Together Women’s Health (TWH)?

Because we do things a bit differently here. We’re a rapidly growing network of OBGYN clinics, and while it’s important to know what we are, it’s more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWG is a place where careers thrive for those who believe the right team can achieve anything.

What’s in it for you?

We offer competitive compensation, a comprehensive benefits package including medical, dental, vision, PTO, and generous 401K plan...not to mention a team of smart and friendly coworkers!

Together Women’s Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Together Women’s Health is an equal opportunity employer. Hiring decisions are administered without regard to race, color, creed, religion, sex, pregnancy, sexual orientation, gender identity, age, national origin, ancestry, citizenship status, disability, veteran status, genetic information, or any other basis protected by applicable federal, state, or local law. We embrace diversity and are committed to creating an inclusive environment for all employees.

Bachelor's degree in business, healthcare administration, finance, or related field required; 3-5 years payor contracting, healthcare reimbursement, or managed care experience required; strong negotiation, analytical, and financial modeling skills; proficiency in Microsoft Excel and contract management tools.

Key Responsibilities

  • negotiating payor agreements
  • managing contract implementation
  • performing financial analysis

Skills & Tools

Microsoft Excel, contract management software

Job Details

  • Category: Business Operations
  • Seniority: Mid Level
  • Commitment: Full Time
  • Workplace: Remote — Grosse Pointe, Michigan, United States
  • Salary: USD 90,000 – 115,000 / year
  • Languages: English

Benefits

  • Generous paid time off
  • Retirement plan

About Together Women's Health, LLC

A rapidly growing network of OBGYN clinics focused on improving the lives of healthcare partners and patients. — Industry: Healthcare

More open positions

Manager, Quality & Value-Based Care

Work from home Full-time role

Marketing - Senior Corporate Marketing Manager

Work from home Full-time role

Marketing - Senior Director of Creative, Digital & Marketing Systems

Work from home Full-time role

Sr./Manager, Talent (Nutricia + Kate Farms)

Work from home Full-time role

Sr. Manager, Social Strategy - (Nutricia + Kate Farms)

Work from home Full-time role

Production Billing Lead

Work from home Full-time role

Student Assistant II - High Performance Computing

Work from home Full-time role

Senior Global Customer Success Manager – Enterprise Revenue Operations & Adoption Champion – Spearheading Strategic Growth, Expansion, and Value Creation for Fortune 100+ Clients at brighthush

Work from home Full-time role

Associate Dean for Finance & Administration (Chief Business Officer) - Rollins School of Public Health

Work from home Full-time role

Online Order Filling Team Associate at Walmart in San Angelo, Texas

Work from home Full-time role

Senior Director, Regulatory Affairs CMC - Gene Therapy

Work from home Full-time role

Seasoned Customer Experience Analyst & In‑Home Product Testing Specialist – Remote, Flexible Hours – Champion Consumer‑Driven Innovation & Product Insight at brighthush

Work from home Full-time role

Senior Customer Success Architect – DevSecOps Platform Advisory & Adoption Leadership at brighthush

Work from home Full-time role

Field Reimbursement Manager, Bluegrass West

Work from home Full-time role

Supply Chain Controller (all genders)

Work from home Full-time role

Buyer, Dormify and Pottery Barn Teen Retail

Work from home Full-time role

Checkpoint Firewall Network Engineer

Work from home Full-time role

Marketing Manager – Demand Generation

Work from home Full-time role

Fully Remote Entry Level

Work from home Full-time role

Route Sales Representative - Jonesboro, AR

Work from home Full-time role

[Remote] Outside Sales Representative

Work from home Full-time role