Cardiovascular Associates of America - CVAUSA

Empowering Cardiovascular Specialists to Transform Patient Care

Payer Contracting Manager

ManagerManagerFull TimeRemoteTeam 51-200Since 2021H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

48 days ago

Salary

Not specified

Bachelor Degree5 yrs expEnglish

Job Description

• Lead payer contracting strategy for cardiology-focused ASCs, including interventional cardiology, electrophysiology, and cath lab services • Negotiate commercial, Medicare Advantage, and managed care payer agreements to achieve competitive reimbursement and favorable contract terms • Manage the full contract lifecycle, including negotiations, execution, amendments, renewals, and terminations • Collaborate with finance and analytics teams to model reimbursement scenarios and assess financial impact of contract changes • Ensure accurate interpretation and implementation of contract terms across revenue cycle, billing, and operational teams • Monitor contract performance, utilization trends, expected reimbursement and payer compliance • Serve as primary point of contact for payer representatives and internal stakeholders • Support ASC expansion initiatives, including new service lines, payer participation, and market entry strategies • Maintain contract documentation and data within contract lifecycle management systems • Stay current on regulatory, reimbursement, and industry trends impacting cardiology ASCs

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
  • 5+ years of experience in healthcare payer contracting or managed care
  • Demonstrated experience negotiating ASC and cardiology-related payer contracts
  • Strong understanding of reimbursement methodologies, fee schedules, and value-based arrangements
  • Proven ability to collaborate cross-functionally with clinical, financial, and operational teams
  • Experience with cardiovascular or cardiology-focused ASC service lines (preferred)
  • Contracting experience in the Florida and Arizona markets (preferred)
  • Proficient in Excel for contract modeling (preferred)

Benefits

  • Remote work from home position

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