Payer Relations Manager

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.

With over 60 clinics across 7 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.

We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.

We are seeking a Manager of Payer Relations to join our rapidly expanding organization in a newly created role that sits at the intersection of payer strategy, contract governance, and revenue performance. This is a unique opportunity to shape the future of payer operations at scale—owning contract management and modeling across 70+ clinics in 9 states while partnering cross-functionally to resolve complex issues, standardize processes, and drive smart growth. You’ll collaborate closely with leaders in Revenue Cycle, Credentialing, Finance, and Operations to ensure seamless execution of payer agreements and support new market launches. If you're excited by fast-paced environments, untapped white space, and building from the ground up—this is the role for you.

The position will report to the VP of Payer Strategy

• Oversee and maintain all payer contracts, fee schedules, and amendments across multiple states and sites, ensuring accuracy, compliance, version control, and integrity within the organization’s contract management and modeling systems.
• Own the contract management and modeling function, including system governance, timely updates to reimbursement methodologies, fee schedules, and contract term dates, and support payer negotiations through financial modeling, benchmarking, and impact analyses.
• Interpret payer contract terms, reimbursement methodologies, and state-specific requirements, translating them into standardized, scalable operational guidance to support consistent execution across markets.
• Serve as the primary cross-functional and external liaison to Revenue Cycle, Finance, Credentialing, Operations, and payer partners, leading resolution of issues related to claims, denials, authorizations, credentialing, system configuration, and payment variances.
• Monitor payer performance, reimbursement trends, and policy changes; proactively identify revenue leakage, operational risk, and improvement opportunities, and develop dashboards, KPIs, and reporting to track performance, denial trends, and contract profitability.
• Lead cross-functional communication, education, and process standardization related to payer requirements, contract interpretation, and best practices, establishing SOPs to support growth, new site launches, and expansion into new markets.

Required education and experience

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
• 5–8 years of experience in managed care operations, payer relations, contracting, or revenue cycle within a multi-site or multi-state healthcare organization.
• In-depth knowledge of commercial payer structures, Medicare Advantage, and Medicaid fee-for-service/managed care variations across states.
• Strong analytical skills with the ability to interpret reimbursement terms and claims data.
• Proficiency with contract modeling tools, RCM systems, Tableau, and analytics platforms.
• Excellent communication and relationship-building skills across internal and external stakeholders.
• Demonstrated ability to manage multiple projects across regions with competing priorities.

Preferred experience

• Experience in a rapidly growing MSO, specialty medical group, ASC operation, or multi-state provider environment.
• Familiarity with multi-state credentialing and enrollment processes.
• Knowledge of value-based care, risk arrangements, and payer quality programs.
• Experience with Athena Practice

Benefits to Support Your Wellbeing & Lifestyle

Full-time team members at Metro Vein Centers are eligible for:

• Medical, Dental, and Vision Insurance
• 401(k) with Company Match
• Paid Time Off (PTO) + Paid Company Holidays
• Company-Paid Life Insurance
• Short-Term Disability Insurance
• Employee Assistance Program (EAP)
• Career Growth & Development Opportunities

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The Metro Vein Centers Difference

Healthy legs. Happier lives.
At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust.

A team united by purpose.
Our values guide everything we do:

• Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for.
• Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.
• A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy.
• Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes.
• Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.

Metro Vein Centers is an Equal Opportunity Employer.
We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.

Legal & Compliance Notice:
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.

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To learn more about how we collect, use, and protect your information, please review our privacy policy here.