Director of Managed Care

Job Description

Director of Managed Care

We are working on an exciting role with an outstanding, rapidly growing, private equity-backed organization with over 40 locations scattered across eight states with more on the way. This Managed Care leadership position is a pivotal role focused on managing and optimizing payer relationships, government contracts, and employer agreements to ensure sustained revenue growth and expansion. As a strategic leader, the successful candidate will be responsible for managing existing relationships, securing new contracts, enhancing reimbursement rates, improving collections, and driving innovative strategies to protect existing agreements. This role is essential for advancing organizational goals by ensuring quality care for patients while minimizing costs for payers through strategic negotiation and operational excellence.

What's in it for you:

• Competitive Compensation: A comprehensive package that includes base and bonus.
• Benefits: Inclusive healthcare options, generous PTO, and a robust 401K program.
• Hybrid Work Opportunity: Flexibility to balance in-office and remote work.
• Professional Growth: Be part of a fast-growing organization that invests in your success and development.
• Supportive Culture: Collaborate with a smart, passionate, and driven team committed to improving lives.

This role will be responsible for:

• Contract Strategy: Developing and executing annual payor contracting strategies to achieve financial objectives.
• Negotiations: Leading high-stakes discussions with payors, CINs, and ACOs to secure competitive agreements.
• Data-Driven Insights: Analyzing rates, costs, and trends to identify opportunities and assess performance.
• Stakeholder Engagement: Building relationships with internal and external partners to ensure seamless operations and contract alignment.
• Operational Excellence: Managing all aspects of payor contracting, from documentation to integrations and compliance.

Expectations will include:

• Achieving Targets: Meeting or exceeding annual rate goals and optimizing payor mix.
• Leadership: Guiding teams and stakeholders with effective communication and proactive problem-solving.
• Collaboration: Partnering with Revenue Cycle Management and other leaders to resolve issues and implement improvements.
• Project Management: Overseeing contract administration and integration processes for practice acquisitions.
• Continuous Improvement: Staying ahead of market changes, regulatory updates, and evolving industry standards.

A qualified candidate will possess the following:

• Education: Bachelor's degree or equivalent experience required.
• Experience: 5+ years in healthcare contracting, with proven success in negotiations and industry-specific expertise (women's health preferred).
• Skills:
  • Exceptional project management and organizational skills.
  • Strong communication, both written and verbal, with the ability to present effectively to diverse audiences.
  • Proficiency in MS Office, Excel, PowerPoint; familiarity with Power BI is a bonus.
• Attributes:
  • A results-driven mindset with independent judgment and problem-solving abilities.
  • Adaptability to work efficiently in a fast-paced, team-oriented environment.
  • Commitment to excellence and exceeding expectations.

Compensation: Will include both base and bonus. Target all-in range will fall in the $150k to $200k range annually.

Benefits: Full

Desired Location: Hybrid in Detroit, MI (preferred), remote is also a possibility

Join a team where your skills and leadership will drive meaningful change in healthcare. Apply now to make an impact.
Candidates must be eligible to work in the US as well as meet the qualifications listed above in order to be considered for the Director of Managed Care job.