Manager of Payer Relations, Contracting, & Credentialing

The role

The Manager of Payer Relations, Contracting, & Credentialing advances payer strategy through relationship management, contract negotiation, and credentialing oversight. This role serves as a liaison with commercial and government payers to support organizational growth and revenue integrity.

What you will do

• Serve as the primary operational relationship owner for assigned health plans and payer partners.
• Develop and maintain strategic relationships with payer representatives and stakeholders.
• Identify and escalate payer issues affecting patient access, reimbursement, or operational performance.
• Support payer strategy for new markets, de novo facilities, acquisitions, and geographic expansion.
• Develop payer negotiation strategies using reimbursement data and market intelligence.
• Build a scalable multi-state licensing and credentialing strategy.
• Evaluate reimbursement performance and identify underperforming contract terms.
• Manage the full lifecycle of contract management, negotiations, and rate increases.
• Coordinate with clinical operations and insurance carriers to complete credentialing and recredentialing applications.
• Monitor entity-specific rules to ensure compliance with accrediting organizations and payer requirements.

Required qualifications

• Bachelor’s degree in business administration, health management, or commensurate experience
• Minimum of five (5) years of experience in managed care contracting and provider credentialing
• Minimum of three (3) years of hospital and/or payer negotiation and payer analysis experience
• Knowledge of fee-for-service and/or fee-for-value reimbursement methods
• Knowledge of delegated credentialing workflows
• Working knowledge of all major payers
• Strong at synthesizing information
• Self-Starter
• Impeccable attention to detail
• Must work well under pressure
• Proficiency with Microsoft Office Suite

Nice to have

• Knowledge of behavioral health care HCPCS/CPT coding
• Business acumen and strong financial skills
• Able to maintain confidentiality of sensitive information
• Excellent communication skills
• Strong interpersonal skills
• Social ease and a demonstrated ability to build relationships
• Ability to perform several tasks concurrently with ease and professionalism
• Ability to effectively prioritize workload in a fast-paced environment

Benefits

• Subsidized Health Insurance Coverage for Employee, Spouse, & Dependent(s)
• 100% Employer Paid Basic Life Insurance equal to 1x annual salary, up to $100,000
• 100% Employer Paid Employee Assistance Program
• Voluntary Dental, Vision, Short-Term Disability, Supplemental Life & AD&D, Critical Illness, Accident, and Hospital Indemnity Insurance
• Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
• Generous Paid Time Off plan
• Employee Referral Bonuses
• 401K Retirement Plan & Employer Match

About the company

Northpoint Recovery Holdings, LLC is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders and mental health treatment for adolescents.