Payer Contracting Manager

Remote(East Coast Candidates only) or Chapel Hill, NC based (On-site) | Full-time |

Reports to: CCO

Truentity Health is the operating system for pharmacy-based clinical care. We give independent pharmacies the technology to deliver chronic care management and remote patient monitoring at scale — closing care gaps at the most accessible healthcare touchpoint patients already use.

The Role

We are building our payer contracting function in-house for the first time. This person will own the end-to-end relationship between our medical group (IndyCare Medical Group) and health insurance payers — securing the contracts that make it possible to expand into new states and across more covered lives. The work is direct: identify priority payers in target markets, engage payer contracting teams, navigate the application and credentialing process, and get us in-network. You will be the first in-house hire for this function, which means you build the process as you execute it.

What You Own

• Payer contract acquisition: lead LOI submissions, application workflows, and negotiations with commercial and government payers across multiple states simultaneously — prioritizing Medicare Advantage plans and Medicaid in each new market

• Payer relationships: maintain and leverage existing relationships on the payer side to accelerate access, escalate when needed, and move applications forward where they stall

• Credentialing coordination: manage provider credentialing in parallel with contracting — CAQH profiles, DEA and state license submissions, payer-specific credentialing applications — for a current panel of 3 providers

• Pipeline management: own a real-time view of every active, pending, and completed contract effort across all states, with weekly reporting to the CCO

• Value-based contracts: develop working knowledge of value-based contract structures as the company builds toward VBC arrangements with payers — this is not a near-term requirement but is a longer-term priority as we mature

• Process ownership: this function does not exist yet in-house — you will define the workflow, tools, and cadence from the ground up

What We Are Looking For

• 5+ years of direct experience in payer contracting or managed care contracting on the provider side — you have personally navigated LOI submissions, contract applications, and credentialing with national payers

• Existing relationships with contracting contacts at national payers (UHC, Aetna, Humana, BCBS, etc.) not just familiarity with these organizations, but actual contacts you can pick up the phone and call

• Multi-state contracting experience — you have done this work in more than one state and understand how payer requirements, Medicaid structures, and credentialing rules vary by jurisdiction

• Credentialing fluency — you understand CAQH, provider enrollment, DEA licensing, and state-specific credentialing requirements and can oversee and coordinate this process.

• Medicare Advantage focus — you understand the MA market, how plans are structured by state, and what it takes to get a physician group in-network for MA products

• Value-based contracting exposure is a meaningful plus — familiarity with shared savings, quality metrics, or risk-based arrangements with payers

• Self-directed operator — there is no playbook, no team, and no hand-off; you own the outcome

Why This Role You will define our expansion efforts contractually at Truentity for the next several years. This role is the direct lever on how fast Truentity grows, which states we can launch in, and ultimately how many Medicare patients with chronic conditions get access to a program that measurably improves their health.

Apply: On Linkedin and/or join+hcs@truentity.com — Send your resume and a brief note on your payer contracting experience — specifically which payers you have worked with and in which states