Payer Contracting Manager

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At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity to make a difference in people's lives. With Adaptive, you'll create a career highlight through collaboration with bright, curious colleagues working at the apex of innovation and application. It's time for your next chapter. Discover your story with Adaptive. Position Overview The Payer Contracting Manager initiates, negotiates, and executes Managed Medicaid, State Medicaid, Medicare Advantage and Local market commercial payer, contracts and agreements to reimburse for testing services. The Payer Contracting Manager works assignments involving moderately complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Key Responsibilities and Essential Functions Communicates contract terms, payment structures, and reimbursement rates to payers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting payers based on improving clonoSEQ coverage and reimbursement. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. All other duties as assigned Position Requirements (Education, Experience, Other) Required 7+ years of experience negotiating managed care contracts with both government and private payers. Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to payers. Excellent written and verbal communication skills Ability to manage multiple priorities in a fast-paced environment Proficiency in Microsoft Office applications Preferred Bachelor's Degree Experience with payer contracting and network administration any with both commercial, Medicaid and Medicare Advantage Knowledge of ACO/Risk Contracting Knowledge of Value Based Contracting Working Conditions Travel may be required #LI-Remote

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