Atlantic Health Strategies™ logo
Atlantic Health Strategies™

Full Spectrum Behavioral Health Support

Manager – Payer Strategy, Revenue Intelligence

ManagerManagerFull TimeRemoteJuniorTeam 11-50Since 2020Company SiteLinkedIn

Location

Ohio + 2 moreAll locations: Ohio, Missouri, Tennessee

Posted

47 days ago

Salary

$65K - $75K / year

Seniority

Junior

1 yr expEnglishPHP

Job Description

• Execute hands-on payer contracting and credentialing support for behavioral health and substance use disorder providers, including research, sequencing, payer selection, and application strategy by state and level of care. • Conduct detailed billing compliance and reimbursement reviews to validate that services, codes, modifiers, units, and rates align with behavioral health payer rules, Medicaid state plans, and managed care organization requirements. • Serve as an internal subject-matter expert on behavioral health reimbursement, including PHP, IOP, OP, MAT, and related services across Medicaid and commercial payers. • Perform deep payer and regulatory research, including Medicaid state plans, managed care contracts, utilization guidelines, and commercial payer manuals, translating findings into clear internal guidance and client-ready analysis. • Develop payer-focused reports, reimbursement analyses, and BI outputs that reflect actual payer methodologies rather than assumed or modeled rates. • Build and maintain internal payer intelligence tools, including reimbursement matrices, payer summaries, credentialing trackers, and contracting reference materials specific to behavioral health. • Support payer relations and audit preparedness by developing documentation, financial analysis, and regulatory interpretation to support payer inquiries, audits, and contract discussions. • Partner with leadership on payer mix strategy, revenue integrity risk identification, and market entry analysis for behavioral health programs.

Job Requirements

  • Demonstrated experience in behavioral health payer contracting, credentialing, reimbursement analysis, billing compliance, or payer policy research.
  • Strong working knowledge of behavioral health coding, reimbursement structures, and level-of-care distinctions, particularly within Medicaid managed care environments.
  • Exceptional independent research skills, with the ability to interpret complex payer and regulatory documentation without reliance on templates or third-party summaries.
  • Analytical judgment is sufficient to identify reimbursement risk, challenge unsupported revenue assumptions, and validate billing and payer data.
  • Clear written and verbal communication skills, particularly when translating complex behavioral health payer rules for leadership, clients, and internal teams.
  • Comfort operating in a consulting or advisory environment with shifting priorities, high accountability, and an expectation of precision.

Benefits

  • Compensation for this role is $65,000–$75,000 annually, commensurate with experience.
  • The role is full-time and fully remote.

Related Job Pages

More Manager Jobs

Race Communications logo

SMB Manager

Race Communications

Race Communications is one of California’s leading telecommunications and fiber technology companies.

Manager47 days ago
Full TimeRemoteTeam 51-200Since 1994H1B No Sponsor

SMB Manager leading sales and customer engagement for Race Communications.

Cyber Security
California
$80K - $95K / year
ERPA logo

Contract Manager, Evisort Experience

ERPA

ERPA is a leader in enterprise application managed services, cloud hosting, and consulting services.

Manager48 days ago
Full TimeRemoteTeam 501-1,000Since 1999H1B No Sponsor

Contract Manager managing Evisort CLM platform at ERPA

United States
The Leaflet logo

Benefits Manager

The Leaflet

An independent platform for cutting-edge, progressive, legal, and political opinion.

Manager48 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

Benefits Manager leading US employee benefits programs management at Hard Rock Digital.

Florida
Staples Promotional Products logo

Strategic Partner Development Manager

Staples Promotional Products

Brands of all sizes rely on our team of experts to provide custom products that deliver.

Manager48 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

Strategic Partner Develop Manager at Staples Technology Solutions leveraging distributor resources.

SFDC
Massachusetts