Atlantic Health Strategies™ · 1 day ago
Manager, Payer Strategy and Revenue Intelligence
United States
Part-time
Remote
Mid Level
$40/hr - $55/hrAtlantic Health Strategies is seeking a Manager of Payer Strategy and Revenue Intelligence to lead payer contracting and credentialing strategy while overseeing payer-focused analytics and research. This role sits at the intersection of payer policy, reimbursement strategy, and data interpretation, ensuring that contracting decisions and revenue assumptions are grounded in regulatory reality and defensible analytics.
Hospital & Health Care
Responsibilities
Own and execute payer contracting and credentialing strategy across Medicaid and commercial payers, including research, sequencing, and prioritization
Serve as the internal subject-matter expert on payer policies, reimbursement methodologies, fee schedules, modifiers, and coverage rules relevant to behavioral health and substance use disorder services
Conduct deep regulatory and payer research, including Medicaid state plans, managed care organization policies, and commercial payer manuals, translating findings into actionable guidance
Supervise and guide the BI and data analytics function to ensure metrics, dashboards, and analyses accurately reflect payer rules and reimbursement realities
Partner with leadership on payer mix strategy, revenue integrity risk assessment, and market entry decisions
Support payer relations efforts by preparing analyses, documentation, and strategic positioning for payer interactions, audits, and negotiations
Develop and maintain internal payer intelligence tools, including reimbursement matrices, payer summaries, and contracting playbooks
Qualification
Required
Demonstrated experience in payer contracting, credentialing, reimbursement analysis, or payer policy research within healthcare
Strong independent research capability, with the ability to interpret complex regulatory and payer documentation without reliance on templates or prior summaries
Analytical judgment sufficient to challenge data outputs, identify inconsistencies, and flag unsupported revenue assumptions
Working knowledge of Medicaid managed care and commercial payer contracting structures
Clear written and verbal communication skills, particularly when translating complex payer information for leadership and clients
Comfort operating in a consulting or advisory environment with shifting priorities
Company
Atlantic Health Strategies™
You didn’t enter the Behavioral Health space to drown in paperwork, stress over Joint Commission audits, or troubleshoot IT tickets.
Founded in 2020
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Leah Kendall
Chief Compliance Officer
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