Large systems negotiate with payors from a position of scale and with teams that do nothing else. Independent practices, surgery centers and community hospitals negotiate the same contracts alone, often from the payor’s standard offer. The gap between those two outcomes is not about the quality of care. It is about who was in the room.
We built PayrHealth to put the same experience on the provider’s side of the table, whatever the provider’s size.
Every negotiation begins with what the care is worth to patients and the plan, not with what the payor offered last time.
Payors expect most providers to sign what they are sent. We don’t.
We build the case a payor can say yes to, and we keep the relationship intact for next time. It’s why they keep taking our calls.
A rate matters only when it shows up in your remittances. Credentialing, rate loading and payment checks are part of the job.
PayrHealth has negotiated payor contracts for providers since 1994. Our contracting, credentialing and revenue cycle teams do that work every day. The people on this page are accountable for how it is done, and the principles above are the standard we all work to.

Armando is an industry expert in fee-for-service and value-based contracting. He has led healthcare teams from multiple perspectives from his time leading national analytics for Ascension Health, to serving as Head of Growth for Clover Health and leading the West/Mid-American provider contracting team for CareCentrix. Armando has also spent time in Finance with Morgan Stanley’s Healthcare Investment Banking team in New York and Summit Partners Healthcare Private Equity team in Boston.
Armando earned a degree in finance and accounting from Georgetown University. He lives in Austin, TX with his wife, three sons, and three dogs.

Laura has 20 years of experience in the healthcare industry and has significantly contributed to the strategic growth and operational efficiency of various organizations. Having worked in diverse healthcare settings in the pharmaceutical, respiratory and laboratory spaces, Laura has had the opportunity to work in national marketing, managed care and business development positions and has worked extensively in a consultative capacity with healthcare organizations across the country to offer support to help drive growth.
Laura earned a degree in Business Administration and resides in Franklin, Tennessee, with her husband and two boys, where they spend most of their time at a ballpark.

Kayla is an accomplished leader in healthcare management, bringing a decade of expertise in revenue cycle operations, health information management, and strategic process improvements. She has a proven track record of driving organizational efficiency and financial performance through effective management of multi-departmental teams and complex system implementations. In her previous role as Director of Revenue Cycle at LECOM Health – Millcreek Community Hospital, Kayla led the transformation of the revenue cycle process, implementing innovative technologies and best practices that resulted in significant operational enhancements.
Kayla holds a Bachelor of Science in Health Management Systems from Duquesne University. She lives in Greenville, Pennsylvania, with her husband and two daughters.

Mace has decades of experience across all facets of managed care contracting, with a focus on hospitals and health systems. He has worked for UnitedHealthcare, Blue Cross Blue Shield, ACA co-ops, and providers across the country. He completed UnitedHealthcare’s hospital certification training, built networks for Land of Lincoln Health, Medicare Advantage plans, and Medicare plans, and created novel pay-for-performance and risk-based agreements. Most recently, he was VP of Managed Care for a chain of outpatient opioid treatment facilities.
Mace also brings broad experience in healthcare operations, having run several freestanding diagnostic facilities as well as the radiology file room and transcription services for an 800-bed hospital.

Shelly has more than 25 years of experience in the medical industry, including over a decade focused on credentialing and payor enrollment. Before joining PayrHealth, she spent nearly a decade at Supero Healthcare Solutions, rising from project manager to director and eventually Vice President of Operations. Shelly also played a key part in customizing our credentialing software to meet the specific needs of PayrHealth and our clients.
Shelly lives in Houston, TX with her husband.

Cuyler has been in healthcare IT for 8 years, with experience in coding, infrastructure management, and EDI. Cuyler graduated from Pittsburg State University with a degree in Computer Information Systems, and since then has enjoyed tackling complex technical challenges and building reliable systems that support healthcare organizations. Cuyler is passionate about technology, problem-solving, and finding creative ways to make IT work better for people.

Kayla Schmidt is a seasoned HR and People Operations leader with expertise in compliance, employee relations, and organizational culture. She has built HR functions that balance empathy with accountability — from guiding managers through complex employee relations issues to shaping policies that emphasize civility, inclusivity, and trust. Kayla also leads company-wide recruiting, onboarding, and engagement initiatives, ensuring processes are not only compliant but also welcoming, human, and aligned with business goals.
Kayla earned a degree in Communications and Public Relations and lives in Kansas City, Missouri, with her husband and their miniature dachshund, Zeppelin.

















A free rate review benchmarks each of your payor contracts against the best-paid quarter of your peers, using payor price transparency data, and shows which gaps a negotiation could close. No obligation.
See if you qualify for a free rate reviewOr call (800) 497-4970 · info@payrhealth.com
Contact us today and we’ll talk about how we can support your organization and its revenue goals.
The information provided by PayrHealth, LLC (the “Company”) on this website is informational in nature, and has not been tailored or modified to fit any particular set of facts. You should review and consider these materials at your own risk, and they should not be considered as client advice. To the extent you desire to establish a consulting relationship with the Company and obtain tailored advice regarding your specific operations and potential revenue growth, please contact info@payrhealth.com. The Company disclaims any liability with respect to the materials set forth herein.