Payer Contracting Manager

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

Compensation

Salary Range: $90,000 - $135,000

Other compensation elements include:

• equity grant

• bonus eligible

ALERT: Malicious groups posing as Adaptive employees have recently used fraudulent email aliases to extend employment offers, provide fake documents, and request sensitive personal and financial information. Legitimate Adaptive employment opportunities are initiated through our careers page and extended after multiple interviews with verified employees. Adaptive does not ask new hires to purchase anything out-of-pocket, including home office supplies and equipment.

Interested in this position, but don’t meet all the requirements? Adaptive is committed to building diverse, equitable, and inclusive teams across our organization. Please consider applying even if your experience doesn’t match all the qualifications; you may be the exact candidate we’re searching for!

Adaptive is not currently sponsoring candidates requiring work authorization support for this position.

Adaptive’s posted compensation information includes a base salary (or hourly rate) range and summary of other available total compensation. The base salary range represents a minimum-to-maximum salary (or hourly rate) available to candidates upon extension of offer. Base salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate’s ability to meet minimum qualifications (skills/experience/education), a candidate’s ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. Listed base salary is exclusive of bonus, commission, equity, differential pay, benefits, and other incentives.

Adaptive's benefits at-a-glance.

Adaptive Biotechnologies is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Please refer the “Know Your Rights: Workplace Discrimination is Illegal” Poster for more information. If you’d like to view a copy of the company’s affirmative action plan or policy statement, please email [email protected].

If you have a disability and you believe you need a reasonable accommodation to search for a job opening or to submit an online application, please e-mail [email protected]. This email is created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.

NOTE TO EMPLOYMENT AGENCIES: Adaptive Biotechnologies values our relationships with our Recruitment Partners and will only accept resumes from those partners who have active agreements with Adaptive. Adaptive Biotechnologies is not responsible for any fees related to resumes that are unsolicited or are received by any employee of Adaptive Biotechnologies who is not a member of the Human Resources team.