Payer Strategy and Health Value Management Manager

**Pay:** $1,000 a month flat retainer plus $1,500 per payer fully landed, across both renegotiated and newly onboarded payers ($7,500 to $12,000 realistic bonus range). Strong operators average $1,500 to $2,500 a month all\-in. 1099 contractor, month\-to\-month. **In plain terms:** This is a part\-time payer contracting lead role built for moonlighters. Fully async operating model: no standing calls, no internal meetings, no set hours. Deliverable\-based, with a weekly written update and ad hoc escalation only when a payer response requires it. If you do payer contracting at a billing company, MSO, or health plan by day and want a defined side project that uses contacts and skills you already have, this is designed for you. **About us:** Amazing Meds is a multi\-state telehealth medical group billing commercial payers for E/M, chronic care management, and behavioral health integration services. We hold active contracts with major national payers and are expanding both our covered services and our network participation. **The project:** Lead payer strategy across two lanes. *Lane 1, renegotiation:* Amend our existing agreements with our top commercial payers (UnitedHealthcare, Aetna, Cigna, BCBS plans, Humana) to add covered services, and renegotiate each fee schedule to current\-year Medicare benchmarks within the same amendment cycle. *Lane 2, network expansion:* Run a payer gap analysis from our patient coverage and eligibility data, recommend which payers are worth joining, and take each approved target from first contracting contact through executed participating agreement. You will: * Verify payer medical policy and taxonomy requirements for each target service before any request goes out * Pull current fee schedules and benchmark our top billed codes against current\-year Medicare * Prepare and submit amendments adding services (care management, behavioral health integration, G2211, async E/M, select in\-clinic services) * Negotiate updated fee schedules while contracts are open, and review new\-payer fee schedules before signature * Identify onboarding targets from our patient coverage data and rank them by revenue potential and panel status * Follow up with provider relations through execution and track each payer to first paid claim This is not a credentialing or enrollment role. You negotiate terms; our team handles credentialing paperwork and enrollment. **You have:** * 4\+ years in payer contracting, RCM, or managed care operations at a medical group, billing company, or health plan * Experience getting codes or services added to an existing payer agreement * Experience taking a group from first contact to executed participating agreement with a new payer * Comfort working provider relations lines and escalating past the first no * Spreadsheet fluency for fee schedule benchmarking * Telehealth or multi\-state group experience a plus **Performance bonus:** $1,500 per payer, paid in two parts. *Renegotiated payers:* $1,000 a