About CWH Advisors
CWH Advisors partners with healthcare organizations, investors, and operators to support growth, performance improvement, and execution-readiness across the healthcare landscape. Our work is grounded in deep industry knowledge, operational discipline, and a commitment to helping clients move with confidence.
We are seeking experienced healthcare professionals to join our consulting team in support of a national payer contracting initiative for a rapidly expanding virtual care client.
Overview
We’re seeking a Payer Contracting Specialist ( Temp to Perm) a contract consulting engagement supporting payer contracting and network development across multiple states.
This role is ideal for an experienced managed care or provider contracting professional who understands payer relationships, provider participation agreements, healthcare reimbursement, and network development. The successful candidate will work as an extension of the client’s leadership team, helping advance payer contracting activities with commercial health plans, Medicare Advantage organizations, and Medicaid Managed Care Organizations.
The Payer Contracting Specialist will collaborate closely with credentialing, legal, operations, revenue cycle, physician recruitment, and CWH engagement leadership to ensure payer contracting efforts are aligned with market expansion, provider onboarding, and launch priorities.
Key Responsibilities
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Execute payer contracting activities across assigned geographic markets.
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Identify and prioritize commercial, Medicare Advantage, and Medicaid Managed Care payers.
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Initiate payer outreach and manage contracting discussions with health plan representatives.
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Submit provider participation applications and required supporting documentation.
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Coordinate contract negotiations between payers, client leadership, legal counsel, and other stakeholders.
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Facilitate contract review, revisions, approvals, and execution.
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Monitor payer contract status and proactively resolve barriers that may delay execution.
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Develop and maintain productive relationships with payer network management representatives.
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Coordinate meetings, follow-ups, and ongoing communications with health plans.
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Respond to payer requests for information, documentation, and clarification.
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Escalate issues requiring executive, legal, or operational intervention.
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Maintain an accurate payer contracting pipeline, status reports, and milestone tracking.
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Prepare executive-level progress updates, dashboards, and contracting reports.
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Identify risks, dependencies, and mitigation strategies to keep contracting timelines on track.
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Partner with credentialing, operations, revenue cycle, legal, physician recruitment, and CWH engagement leadership to ensure contracting activities remain aligned with client priorities.
What You Bring
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Minimum of 5 years of experience in healthcare payer contracting, managed care contracting, provider relations, or network development coupled with a Bachelor’s degree or equivalent combination of education and relevant healthcare experience.
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Experience working with physician groups, provider organizations, health systems, virtual care companies, or similar healthcare organizations.
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Strong understanding of commercial health insurance, Medicare Advantage, Medicaid Managed Care, and provider contracting processes.
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Experience coordinating or supporting provider participation agreements.
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Strong project management, organizational, and follow-up skills.
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Ability to manage multiple payer relationships, contracting timelines, documentation requirements, and stakeholder priorities simultaneously.
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Clear, professional communication skills with payers, providers, client stakeholders, legal teams, and executive leaders.
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Ability to translate contracting status, risks, and next steps into practical updates for leadership and project teams.
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Strong attention to detail and a disciplined approach to documentation, tracking, and reporting.
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Advanced proficiency with Microsoft Office, including Excel, Word, Outlook, and Teams.
Preferred Experience
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Multi-state managed care contracting experience.
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Experience supporting telehealth, virtual care, or national provider network expansion.
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Familiarity with physician credentialing and provider enrollment workflows.
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Experience with contract lifecycle management systems, payer contract management platforms, or contracting workflow tools.
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Existing relationships with national or regional health plans.
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Consulting, project-based, or client-facing healthcare experience.
Success Profile
Successful candidates will demonstrate:
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Strong relationship-building and negotiation skills.
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Executive presence when interacting with healthcare leaders and payer representatives.
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Exceptional organization and attention to detail.
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Ability to work independently while collaborating effectively with cross-functional teams.
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Comfort operating in a fast-paced consulting environment with shifting priorities.
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Strong analytical and problem-solving capabilities.
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Accountability, initiative, and a client-first mindset.
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Ability to identify risks early, escalate appropriately, and recommend practical solutions.
Travel
This role is primarily remote. Travel is expected to be limited and may be required based on client needs or market-specific contracting activities.
Why CWH Advisors?
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Support a high-impact payer contracting initiative for a rapidly expanding healthcare organization.
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Work alongside experienced healthcare operators, advisors, and engagement leaders.
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Apply your managed care contracting expertise in a focused, execution-oriented consulting role.
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Help expand provider network access and support market readiness for a national virtual care platform.
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Earn competitive consulting rates in a flexible, remote-first environment.
Ready to help healthcare organizations expand payer access with confidence?
Click Apply to join CWH Advisors as a Payer Contracting Specialist.
