Atlantic Health Strategies™ · 19 hours ago
Manager of Payer Strategy and Revenue Intelligence
United States
Contract
Remote
Mid Level
$65K/yr - $75K/yrAtlantic Health Strategies is seeking a Manager of Payer Strategy and Revenue Intelligence for a full-time, individual-contributor role focused on behavioral health and substance use disorder services. The role involves payer research, reporting, business intelligence, and direct execution of payer contracting support and billing compliance review.
Hospital & Health Care
Responsibilities
Execute hands-on payer contracting and credentialing support for behavioral health and substance use disorder providers, including research, sequencing, payer selection, and application strategy by state and level of care
Conduct detailed billing compliance and reimbursement reviews to validate that services, codes, modifiers, units, and rates align with behavioral health payer rules, Medicaid state plans, and managed care organization requirements
Serve as an internal subject-matter expert on behavioral health reimbursement, including PHP, IOP, OP, MAT, and related services across Medicaid and commercial payers
Perform deep payer and regulatory research, including Medicaid state plans, managed care contracts, utilization guidelines, and commercial payer manuals, translating findings into clear internal guidance and client-ready analysis
Develop payer-focused reports, reimbursement analyses, and BI outputs that reflect actual payer methodologies rather than assumed or modeled rates
Build and maintain internal payer intelligence tools, including reimbursement matrices, payer summaries, credentialing trackers, and contracting reference materials specific to behavioral health
Support payer relations and audit preparedness by developing documentation, financial analysis, and regulatory interpretation to support payer inquiries, audits, and contract discussions
Partner with leadership on payer mix strategy, revenue integrity risk identification, and market entry analysis for behavioral health programs
Qualification
Required
Demonstrated experience in behavioral health payer contracting, credentialing, reimbursement analysis, billing compliance, or payer policy research
Strong working knowledge of behavioral health coding, reimbursement structures, and level-of-care distinctions, particularly within Medicaid managed care environments
Exceptional independent research skills, with the ability to interpret complex payer and regulatory documentation without reliance on templates or third-party summaries
Analytical judgment is sufficient to identify reimbursement risk, challenge unsupported revenue assumptions, and validate billing and payer data
Clear written and verbal communication skills, particularly when translating complex behavioral health payer rules for leadership, clients, and internal teams
Comfort operating in a consulting or advisory environment with shifting priorities, high accountability, and an expectation of precision
This role is designed for someone who understands how behavioral health is actually reimbursed in the real world, not how it is supposed to work on paper. It rewards rigor, curiosity, and operational fluency rather than title or headcount
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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