Manager, Payer Strategy and Revenue Intelligence

Atlantic 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.

The role is part-time initially, approximately 10 hours per week, with a defined path to full-time employment as payer volume and analytic scope expand. This is a high-trust role with meaningful autonomy and direct exposure to leadership.

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.

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.

Initial engagement at $40–$55 per hour, approximately 10 hours per week. Planned progression to FTE.