Contracting Specialist

Overview

Located on the edge of the beautiful Wasatch Mountains, Sera, Inc. is a women’s health diagnostics company dedicated to improving the health of babies and mothers. We are a growing company tasked with becoming a global leader in high value women’s health diagnostics, delivering pivotal information to physicians that will improve health and improve the economics of healthcare delivery. According to Sera’s CEO, employees here must possess three qualities to be successful: 1) the individual must be passionate and dedicated to changing the world; 2) they must be smart and work smart; and 3) they must have absolute integrity. If this is you, we urge you to keep reading!

Join our team as a Contracting Specialist and play a pivotal role in expanding patient access and optimizing reimbursement for our innovative healthcare solutions. In this role, you will manage the full lifecycle of payer contracts—from drafting and negotiation through implementation and ongoing maintenance—while partnering with commercial insurers, government payers, and managed care organizations. Your expertise will directly impact revenue capture, reimbursement accuracy, payer coverage growth, and regulatory compliance. Working cross-functionally with finance, revenue cycle, legal/compliance, medical, and commercial teams, you will serve as a key liaison between internal stakeholders and payer organizations to drive contract performance, support market access objectives, and resolve reimbursement challenges.

Location

• Salt Lake City, Utah
• Or Remote

Responsibilities

Contract Development & Management

• Draft, review, and manage payer contracts, amendments, and renewals.
• Analyze contract terms, reimbursement methodologies, and fee schedules.
• Ensure contracts align with company strategy, financial targets, and compliance requirements.
• Maintain complete and accurate contract documentation and tracking systems

Negotiation & Strategy Support

• Support negotiation of payer agreements to achieve favorable reimbursement rates and terms.
• Develop contract proposals and track negotiation progress and outcomes.
• Identify opportunities to improve contract performance and mitigate risk.

Payer Relations & Communication

• Serve as a primary point of contact for payer-related inquiries and issues.
• Build and maintain strong relationships with payer representatives and provider relations teams.
• Coordinate meetings and communications to resolve contract or reimbursement issues.

Contract Implementation & Operations

• Translate contract terms into operational workflows (billing, coding, reimbursement processes).
• Support payer onboarding, provider enrollment, and credentialing processes.
• Collaborate with IT or revenue cycle teams to ensure accurate system configuration and reimbursement setup.

Performance Monitoring & Reporting

• Track contract performance, including reimbursement rates, denials, and payment trends.
• Analyze payer data to identify discrepancies, underpayments, or operational issues.
• Prepare reports and dashboards for leadership on contract status and performance.

Compliance & Risk Management

• Ensure all contracts comply with applicable federal and state regulations (e.g., Medicare, Medicaid, HIPAA).
• Conduct periodic audits of contract compliance and reimbursement accuracy.
• Identify and escalate contractual risks, disputes, or gaps.

Cross-Functional Collaboration

• Partner with finance, legal/compliance, medical, and commercial teams to align contracting strategy.
• Support product launches and market access initiatives through payer contracting and reimbursement planning.
• Provide education and guidance internally on payer requirements and contract terms.

Required Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
• 2–5+ years of experience in payer contracting, healthcare reimbursement, or managed care.
• Strong knowledge of payer types (commercial, Medicare, Medicaid, MCOs) and reimbursement models.
• Experience with contract analysis, negotiation support, or revenue cycle operations.
• Contract negotiation and analytical skills.
• Knowledge of reimbursement methodologies and fee schedules.
• Strong attention to detail and documentation discipline.
• Data analysis and reporting (Excel, contract management tools).
• Effective cross-functional collaboration and communication.
• Ability to manage multiple contracts and timelines concurrently.

Preferred Qualifications

•  Experience with diagnostics, laboratory services, or medical devices (LDT/IVD environment).
• Familiarity with payer enrollment platforms (e.g., CAQH, Availity).
• Experience supporting Medicaid or state-based contracting initiatives.
• Exposure to contract modeling or pricing strategy.

Benefits for Full-Time Employees

We offer a competitive salary range, along with an excellent benefits package that features an 85% to 95% premium-paid healthcare plan, a 401(k) plan, 14 paid holidays, three weeks of paid time off, employee stock options, and more.

How to Apply

Send your resume directly to HR@sera.com or click the Apply Link. This will generate an Outlook email to send your resume to HR@sera.com.