--- title: 'Manager, Payer Contracting at OpenLoop Health' canonical: 'https://feeny.ai/job/manager-payer-contracting-openloop-health-united-states-590h6bbjfkwn' type: 'job' last_seen: '2026-09-17' --- # Manager, Payer Contracting at OpenLoop Health - **Company:** OpenLoop Health - **Location:** United States - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-09-15 - **Last confirmed live:** 2026-09-17 - **Apply:** https://jobs.ashbyhq.com/openloophealth/cf34995d-7235-4637-b6f5-8e62b32e92ad/application **Skills:** Managed care contracting, Payer contract reimbursement, Analytic modeling, Value based contracting, Medicare reimbursement methodologies, State Medicaid payment methodologies, Commercial MA plans, Claims processing systems, GSuite, Payer portal navigation, MDStaff, Medallion, Verisys, Jira, ZenDesk, Zoho Desk, Healthcare reimbursement methodologies, Provider contracting, Financial arrangements, Fee schedules > The Manager of Payer Contracting leads the acquisition, negotiation, and renegotiation of payer contracts within the Clinical Compliance Team. This role involves managing group-level agreements, ensuring compliance with Medicare and Medicaid reimbursement methodologies, and collaborating with internal teams to optim... ## Job description ## About OpenLoop OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states. ## About the Role OpenLoop’s mission is to bring care anywhere by powering telehealth solutions at scale. We are looking for a Manager, Payer Contracting to join our Clinical Compliance team and own the strategy, negotiation, and ongoing management of OpenLoop’s payer contracting portfolio. This role will be responsible for bringing structure and visibility to a complex, evolving contracting environment. You will assess and map our existing payer contracts across entities and markets, determine the appropriate group versus individual contracting approach, and personally lead negotiations and renegotiations with national and regional payers. You will partner closely with Revenue Cycle Management, Payer Enrollment, Finance, Clinical Operations, Compliance, Legal and other teams to ensure contracts are structured correctly and successfully implemented downstream. This is a highly hands-on role for someone who understands payer contracting from the provider perspective and is comfortable operating independently in an environment where the path may not already be defined. ## What You’ll Do - Own OpenLoop’s payer contracting portfolio, including the identification, organization, assessment, negotiation, implementation, renewal, and ongoing management of payer contracts. - Build a comprehensive inventory and contracting map across OpenLoop entities, identifying existing agreements, contracting entities, payer relationships, state requirements, renewal dates, fee schedules, and gaps requiring remediation. - Determine the appropriate contracting strategy across group-level and individual provider contracts, including when payers require different contracting structures by entity, provider group, market, or state. - Personally lead payer negotiations and renegotiations, serving as OpenLoop’s primary contracting representative with national and regional health plans. - Negotiate reimbursement rates, fee schedules, contract terms, and other financial arrangements that support OpenLoop’s clinical and financial objectives. - Use utilization, reimbursement, coding, payer mix, and financial data to develop fact-based negotiation strategies and effectively represent OpenLoop at the negotiating table. - Partner with Revenue Cycle Management and coding stakeholders to understand services and codes being billed, identify contracting implications, and ensure agreements appropriately support OpenLoop’s care delivery model. - Collaborate with Payer Enrollment to ensure contracted entities, providers, state identifiers, and enrollment requirements are accurately aligned with payer agreements. - Coordinate with Revenue Cycle Management, Finance, Clinical Operations, Compliance, and other stakeholders to ensure negotiated contracts are implemented accurately into downstream systems and workflows. - Evaluate existing contracts to identify opportunities to consolidate, restructure, renegotiate, or transition agreements as OpenLoop's organizational structure and payer strategy evolve. - Support the integration of acquired or newly added businesses into OpenLoop’s broader payer contracting strategy, assessing existing payer relationships and determining the appropriate future-state contracting approach. - Maintain current knowledge of Medicare, Medicaid and Medicaid Managed Care, Medicare Advantage, and commercial reimbursement methodologies and contracting requirements. - Monitor contract performance, renewals, reimbursement changes, and payer-specific issues and proactively initiate renegotiations or corrective actions when needed. - Establish and maintain productive relationships with payer contracting representatives and resolve escalated contract-related issues. - Serve as OpenLoop’s subject matter expert for payer contracting, providing guidance to internal stakeholders and helping establish scalable contracting processes, documentation, and operating standards. - Lead payer contracting projects independently, moving quickly to establish alignment across stakeholders and drive decisions through implementation. - Other duties as assigned. ## Who You Are Required Qualifications - Bachelor’s degree or equivalent relevant experience. - 6+ years of progressive experience in payer, managed care, or provider contracting, ideally within a multi-state or national healthcare organization. - Significant experience negotiating payer contracts from the provider side, with direct responsibility for sitting across the table from payer representatives and negotiating contract terms and reimbursement. - Demonstrated experience managing contracts across multiple payers, entities, markets, or states. - Strong understanding of group versus individual provider contracting, including the operational and enrollment considerations associated with each model. - Deep understanding of healthcare reimbursement methodologies, provider contracting, fee schedules, claims reimbursement, and managed care contracting. - Experience evaluating financial and operational data to prepare for and support payer negotiations. - Working knowledge of Medicare, Medicaid, Medicaid Managed Care Organizations, Medicare Advantage, and commercial payer contracting. - Experience partnering with Revenue Cycle Management, Payer Enrollment, Finance, Coding, Clinical Operations, and other stakeholders to operationalize payer agreements. - Ability to independently bring structure to incomplete or fragmented information, identify gaps, develop a path forward, and drive work through completion. - Ability to manage multiple complex priorities and sensitive deadlines with a high degree of autonomy. ## Preferred Qualifications - Experience working within both a payer and provider organization, with a strong understanding of how contracting decisions impact each side. - Experience leading payer contracting for a national healthcare, telehealth, physician group, hospital, or other multi-state provider organization. - Experience with value-based contracting or alternative reimbursement arrangements. - Experience consolidating or restructuring payer agreements following acquisitions, entity changes, or organizational growth. - Familiarity with provider enrollment and credentialing platforms such as MDStaff, Medallion, or Verisys. - Familiarity with payer portals, healthcare billing systems, contract management tools, and workflow platforms such as Jira, Zendesk, or Zoho Desk. ## What We Offer - Competitive compensation - Medical, Dental & Vision - Flexible Spending / Health Savings Accounts - Generous PTO and company holidays - 401(k) - Additional benefits and programs based on eligibility Our Company We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work. Sound like a good fit? We’d love to meet you. ## About OpenLoop Health ## Company Overview - **One-liner**: OpenLoop Health provides end-to-end, white-label telehealth infrastructure that enables healthcare and non-healthcare organizations to launch and scale digital health services. - **Entity Type**: Private - **Headquarters**: Des Moines, Iowa, United States - **Founded**: 2020 - **Founders**: Dr. Jon Lensing (CEO & Co-Founder) and Christian Williams (COO & Co-Founder) ## Core Business - **Primary industry**: Digital Health / Telehealth Infrastructure - **Target customers**: B2B — Digital health companies, hospitals & health systems, health plans, employers, retail & pharmacy, and non-healthcare entities looking to add virtual care offerings. - **Mission**: To bring healing anywhere, anytime to anyone across the nation. - **Vision**: A world where healthcare is accessible, efficient, and tailored to individual needs—delivered wherever the patient may be. ## Products & Services OpenLoop offers a full-stack, white-labeled suite of services: - **Technology Platform**: HIPAA-compliant EHR with flexible API integrations, scheduling, booking, payments, and support for both synchronous and asynchronous care. AI-powered operations to streamline clinical workflows. - **Provider Staffing & Credentialing**: Access to a nationwide, NCQA-credentialed network of clinicians across 30+ specialties and 15+ languages, with full 50-state coverage. Includes licensing, credentialing, and onboarding management. - **Payer Coverage & Revenue Cycle Management (RCM)**: A network of 600+ payer contracts including Medicare and Medicaid, paired with RCM services to streamline reimbursement. - **Regulatory, Legal & Compliance Support**: End-to-end legal, financial, and compliance setup, including ongoing regulatory maintenance and expert support. - **Clinical Pathways**: Over 100 repeatable, scalable, and vetted clinical protocols (e.g., medical weight loss, HRT, urgent care, mental health). - **Diagnostic Imaging & Labs**: A platform for diagnostic image ordering, referrals, and results, plus access to a network of pharmacy and lab partners for competitive medication costs. ## Market Standing - **Valuation**: Not publicly available (private company) - **Key Metric**: Trusted by 3M+ patients annually; serves patients in all 50 states; processes thousands of patient visits per month. - **Notable Investors/Partners**: Managing board includes Jack Berkowitz, Freddie Martignetti, and Ryan Morley. Client partners span digital health companies, hospitals, health plans, and employers. - **Growth Signals**: OpenLoop saw **700% YoY growth in 2024**, appointed key executive team members (including a Chief Medical Officer, CFO, CCO, and CPO), and integrated AI technology into its operations. LinkedIn followers grew 124.8% year-over-year. ## Competitive Advantages - **Full-stack, end-to-end solution**: OpenLoop is the only white-label provider that covers clinical, administrative, regulatory, and technological needs under one roof — clients bring their brand and patients, OpenLoop handles everything else. - **Nationwide scale**: 50-state PC network, 600+ payer contracts (including Medicare/Medicaid), and a network of thousands of clinicians. - **NCQA-accredited credentialing**: A streamlined, accredited credentialing process that reduces administrative burden for clients. - **Proven, repeatable clinical pathways**: Over 100 pre-vetted, scalable protocols allow clients to launch new programs quickly and safely. - **Deep Midwest roots**: Headquarters in Des Moines, Iowa, with a commitment to building local talent and positioning Iowa as a hub for healthcare transformation. ## Strategic Focus - **AI integration**: Embedding AI to streamline clinical workflows, enhance patient support, and guide optimized care pathways. - **Expansion of clinical pathways**: Continuously developing new, ready-to-use care programs (e.g., medical weight loss, HRT, anti-aging, mental health). - **Scaling partnerships**: Serving a growing range of organizations from digital health startups to large employers and health systems. - **National reach**: Deepening 50-state coverage and payer relationships to enable truly national virtual care delivery. ## Why Work Here - **Culture & Mission**: Driven by a mission to “bring healing anywhere,” with a strong focus on expanding healthcare access. The team is described as passionate, energetic, and focused on driving long-lasting results. - **Work Environment**: Hybrid work environment with a pet-friendly office in Des Moines, Iowa. The company is deeply committed to its Iowa roots and building a skilled local workforce. - **Benefits**: Competitive salary, generous PTO, medical/dental/vision insurance, and a 401k program. - **Growth & Impact**: Employees report feeling empowered to make a lasting impact on virtual care delivery. The company saw explosive 700% YoY growth in 2024, indicating a dynamic and scaling environment. - **Leadership**: Experienced executive team including a CEO/co-founder with a personal connection to healthcare access challenges, a COO/co-founder, a CMO, CFO, CCO, CPO, and General Counsel. - **Caution**: The careers page explicitly warns of fraudulent job postings and fake recruiter outreach. Candidates should verify any role or offer by emailing fraud@openloophealth.com. ## Sources 1. [openloophealth.com](https://openloophealth.com/) 2. [openloophealth.com/careers](https://openloophealth.com/careers) 3. [openloophealth.com/team](https://openloophealth.com/team) 4. [openloophealth.com/blog/who-is-openloop-health](https://openloophealth.com/blog/who-is-openloop-health) 5. [linkedin.com/company/openloophealth](https://www.linkedin.com/company/openloophealth) ## Other roles at OpenLoop Health - [Revenue Commission Analyst](https://feeny.ai/job/revenue-commission-analyst-openloop-health-united-states-gc36sysfk1pb) — United States - [Sr. Accountant](https://feeny.ai/job/sr-accountant-openloop-health-united-states-647xa7hr2cqq) — United States - [Talent Acquisition Partner, R&D](https://feeny.ai/job/talent-acquisition-partner-r-d-openloop-health-ontario-48vqj16pj2zf) — Ontario, Canada - [Customer Marketing Manager](https://feeny.ai/job/customer-marketing-manager-openloop-health-united-states-47f010b065ze) — United States - [Sr. Staff IAM Architect](https://feeny.ai/job/sr-staff-iam-architect-openloop-health-united-states-q3bd1t5gda6y) — United States - [Internal Audit Manager, Operational](https://feeny.ai/job/internal-audit-manager-operational-openloop-health-united-states-g8hznwj5dxwf) — United States - [Revenue Operations Manager](https://feeny.ai/job/revenue-operations-manager-openloop-health-united-states-mhhrsv4v3p90) — United States - [Financial Systems Administrator](https://feeny.ai/job/financial-systems-administrator-openloop-health-united-states-cvggq8edmw56) — United States - [Director, IT Operations](https://feeny.ai/job/director-it-operations-openloop-health-united-states-wa1c54enf29y) — United States - [Senior Strategic Account Executive, Health Systems](https://feeny.ai/job/senior-strategic-account-executive-health-systems-openloop-health-united-states-3y40f49v3agc) — United States