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 at executed amendment that includes at least one new covered service, brings our top billed codes to at least 100% of current-year Medicare (minimum 10% volume-weighted increase), and introduces no adverse terms (no new prior authorization, no telehealth reductions, no code removals). $500 when the new rates and service are loaded and the first clean claim pays correctly.
New payers: $1,000 at executed participating agreement meeting the rate floor we set together at kickoff, with no adverse terms. $500 when the first clean claim pays correctly.
Bonus applies per payer with no cap. The target payer list for both lanes is defined together at kickoff.
Timeline: Month-to-month, realistically 6 to 9 months for the full slate. New payer agreements can take 90 to 180 days on the payer's side and run in parallel with renegotiations.
Pay: $1,000.00 - $2,500.00 per month
Benefits:
Application Question(s):
- Include one sentence describing a service or code you personally got added to an existing payer agreement and what it reimbursed. Applications without this will not be reviewed.
Experience:
- Payer Contracting: 4 years (Required)
Work Location: Remote
