Manager of Payer Relations, Contracting, & Credentialing

Job Title: Manager of Payer Relations, Contracting, & Credentialing  Reports To: Executive Vice President, Revenue Cycle Management Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $70,000-90,000/year Northpoint Recovery Holdings, LLC began 2009 as Ashwood Outpatient and officially launched the Northpoint platform in 2015. Now celebrating 10 years of growth in 2025, Northpoint is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders through the Northpoint Recovery brand, and mental health treatment for adolescents through Imagine by Northpoint . Operating under an in-network, commercial insurance model, Northpoint has grown exclusively through de novo expansion—from two facilities to seventeen across the Western U.S.—with more planned in both existing and new markets. We’re guided by core values of humility, heart, inspiration, and conviction . Our mission is simple: saving lives and restoring relationships by helping people get their lives back, and treating every individual with empathy and respect. POSITION SUMMARY: As a key member of the Northpoint team, reporting to the Executive Vice President of Revenue Cycle Management, the Manager of Payer Relations, Contracting & Credentialing is responsible for advancing Northpoint’s payer strategy through effective payer relationship management, contract negotiation and performance, network development, and credentialing oversight across the organization’s markets. This position serves as a key organizational liaison with commercial and government payers and is responsible for developing and maintaining productive payer relationships, identifying opportunities to strengthen network participation and reimbursement, resolving payer-related barriers, and supporting Northpoint’s continued expansion into existing and new markets. The Manager leads the full lifecycle of payer contracting, including contract evaluation, negotiation, rate strategy, amendments, reimbursement terms, and operational implementation of contractual requirements. The position partners closely with Revenue Cycle, Utilization Review, Finance, Clinical Operations, Business Development, and Executive Leadership to evaluate payer performance, identify emerging risks and opportunities, and ensure payer strategies support patient access, revenue integrity, and organizational growth. The position also maintains leadership oversight of Northpoint’s credentialing, recredentialing, enrollment, licensing, and related regulatory processes, ensuring facilities and providers remain appropriately credentialed and compliant with payer, state, federal, CAQH, Medicare, and Medicaid requirements. As Northpoint continues to expand, this role is expected to build scalable payer relations, contracting, and credentialing infrastructure capable of supporting new markets, service lines, acquisitions, and de novo growth. ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE: Payer Relations & Strategy Serve as the primary operational relationship owner for assigned health plans and payer partners. Develop and maintain strategic relationships with payer representatives, network leaders, contracting teams, and other key stakeholders. Establish a structured payer engagement cadence for Northpoint’s highest-impact payer relationships. Identify and escalate payer issues affecting patient access, reimbursement, authorization, claims payment, or operational performance. Partner with RCM and UR leadership to identify recurring payer behaviors and develop coordinated resolution strategies. Monitor payer and market developments that may create financial, operational, or access opportunities or risks. Support payer strategy for new markets, de novo facilities, acquisitions, new service lines, and geographic expansion. Maintain a payer opportunity and escalation pipeline, including contract opportunities, network gaps, reimbursement opportunities, and unresolved payer issues. Provide regular executive-level reporting regarding payer relationships, negotiations, network development, reimbursement opportunities, and material risks. Contracting & Reimbursement Strategy Develop payer negotiation strategies in partnership with the EVP of RCM and Finance using reimbursement data, market intelligence, utilization trends, and organizational growth. Build an effective multi-state licensing and credentialing strategy and process that can scale nationally, coordinating between providers, medical boards, payers, and government agencies. Evaluate reimbursement performance and identify underperforming contract terms or rates requiring renegotiation. Develop and maintain payer contract summaries identifying reimbursement terms, authorization requirements, timely filing provisions, appeal requirements, exclusions, termination provisions, and other financially material terms. Partner with RCM analytics to quantify the financial impact of proposed rate changes and contract amendments. Identify opportunities to expand network participation and improve patient access across Northpoint markets. Ensure negotiated contract terms are operationalized across Admissions, UR, Clinical Operations, Billing, and other affected functions. Provider Credentialing, Enrollment & Compliance Manages Northpoint’s full lifecycle of contract management, negotiations, rate increases, HCPCS/CPT requirements, and professional services Responsible for the overall management of all in-network and out-of-network contracting and negotiations for the organization and employed providers Coordinate with clinical operations, licensing agencies, insurance carriers, and other appropriate organizations to complete credentialing and recredentialing applications Maintain a database for licensing, contracting, and credentialing and continue to develop new processes and procedures, ensuring full utilization of