Payor Network Contracts Manager

Payor Network Contracts Manager 📝💼
📍 Remote (U.S.-Based) 

The difference you’ll make:

Midi Health is on a mission to redesign care for women in midlife — and we’re scaling fast. As our Payor Network Contracts Manager, you’ll be the operational linchpin behind our insurance contracting efforts. You’ll lead the charge in growing and managing our payor network, supporting delegated credentialing processes, and ensuring compliance across the board. Your work will ensure that more women have seamless access to Midi’s care, exactly when and where they need it.

You’ll play a key role in maintaining and expanding our national footprint by building strong payor relationships, managing contract implementation from end to end, and creating tools and processes that help our internal teams stay in sync.

This job is HOT: 🔥
We're growing rapidly and need someone to help steer the ship on the operations side of contracting and credentialing. This is a unique opportunity to have a direct impact on access to care and our ability to scale responsibly.

What you’ll do:

🔗 Payor Contract Management

• Own the end-to-end operational payor contracting process: from applications to implementation.

• Maintain contract statuses, documentation, renewal dates, and updates in tools like Verifiable.

• Build and maintain a rate guide and line-of-business (LOB) guide for internal use.

📜 Delegated Credentialing Oversight

• Research and pursue delegated credentialing opportunities with national payors.

• Manage trackers and ensure all rosters, reports, and compliance deliverables are submitted on time.

✅ Compliance & Regulatory Reporting

• Track and report on contractual compliance requirements (e.g., provider changes, exclusions, entity updates).

• Collaborate with legal and compliance teams to ensure alignment and mitigate risk.

📈 Operational Tracking & Internal Support

• Support network launches and ensure operational readiness.

• Maintain a monthly reporting calendar to track key contract and credentialing milestones.

• Build internal tools and guides for team visibility into contract statuses and LOB coverage.

💬 Relationship & Escalation Management

• Build strong relationships with payor contacts and maintain a comprehensive contact list.

• Escalate claims and contract issues in partnership with Revenue Cycle and Billing teams.

🌐 Website & Provider Updates

• Ensure timely updates to our website regarding contracted payors and newly credentialed providers.

• Coordinate with marketing and provider services to maintain accurate public-facing information.

What you’ll need to succeed: 🌱

• Bachelor’s degree in Healthcare Administration, Business, or related field

• 6+ years of experience in health payor contracting, provider relations, or insurance ops

• Expertise in delegated credentialing, provider enrollment, and compliance processes

• Proficiency in building operational trackers/tools (Google Drive, Notion, Verifiable, etc.)

• A strong sense of ownership and attention to detail

• Clear communicator and collaborator, especially across functions

Bonus points if you have:

• History working at a health plan or virtual care company

• Experience using Verifiable or similar platforms

• Strong negotiation skills and a process-optimization mindset

• The ability to thrive in a fast-paced, startup environment

• Master’s is a plus

The interview process will include: 📚

• Recruiter Screen (30 min)

• Hiring Manager Interview (45 min)

• Cross-Functional Interviews with team (approx. 2–3 hours total)

Compensation:
The base salary range for this role is $80,000–$100,000, depending on experience and qualifications.

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