Corporate Director of Payer Contracting & Strategy

Nutex Health, Inc.

Tyvan

On-site

CAD 120,000 - 150,000

Full time

14 days+

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Benefits offered by this job

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Job summary

Nutex Health, Inc. is seeking a strategic Corporate Director of Payer Contracting & Strategy to enhance revenue streams by overseeing payer agreements. This role demands expertise in healthcare contracting and leadership to implement innovative strategies for financial growth.

The ideal candidate will have extensive experience in negotiation, deep knowledge of reimbursement frameworks, and the ability to manage complex payor relationships effectively. The position includes benefits like 401(k) matching, dental insurance, and paid time off.

Qualifications

  • Minimum 10 years of increasingly responsible experience in healthcare payor contracting or strategy.
  • Proven record of success in leading complex payor negotiations.
  • Deep understanding of managed care principles and hospital reimbursement methodologies.

Responsibilities

  • Develop and lead the hospital system’s payor strategy.
  • Oversee negotiation and management of payor contracts.
  • Analyze payor mix and identify opportunities for revenue optimization.

Skills

Healthcare payor contracting
Negotiation skills
Relationship-building
Financial acumen
Executive communication

Education

Master's Degree in Health Care, Public Health or Business Administration
Bachelor's Degree in Business, Health Administration, Finance, or related field

Job description

## Corporate Director of Payer Contracting & StrategyApplylocations: Tyvantime type: Full timeposted on: Posted 23 Days Agojob requisition id: JR100006Corporate Director of Payer Contracting & StrategyNutex Health is seeking a highly strategic and dynamic **Corporate Director of Payer Contracting & Strategy** to lead our organization’s efforts in developing and executing comprehensive payer contracting initiatives. This pivotal leadership role involves overseeing the negotiation, management, and optimization of payer agreements to enhance revenue streams and ensure alignment with organizational goals. The ideal candidate will possess a strong background in healthcare or insurance contracting, strategic planning, and business development, with proven management and leadership capabilities. This position offers an opportunity to influence organizational growth through innovative contract strategies, process improvements, and effective team supervision.**RESPONSIBILITIES**Strategic Leadership:* Develop and lead the hospital system’s payor strategy, ensuring alignment with enterprise goals for growth, quality, and financial stability.* Identify market and policy trends affecting payor-provider relationships and advise the executive team on strategic implications.* Build and maintain a culture of collaboration and accountability within the revenue cycle and payor contracting teams.Payor Contracting and Negotiation:* Oversee negotiation, execution, and management of all payor contracts—including commercial, Medicare Advantage, Medicaid Managed Care, and employer direct contracts.* Drive innovation in contract structure, including bundled payments, shared savings, and other value-based reimbursement models.* Partner with legal and compliance teams to ensure contract terms meet regulatory and organizational requirements.* Develop escalation and resolution processes for payor disputes and denials in collaboration with revenue cycle leadership.Financial and Performance Management:* Partner with Finance to develop budget, payor performance dashboards, monitor contract performance, and forecast reimbursement trends.* Analyze payor mix, contract yield, and payment integrity to identify revenue optimization opportunities.* Support strategic pricing initiatives and ensure payor rates align with organizational cost structure and service line strategy.Value-Based Care & Population Health:* Collaborate with the Population Health Services Organization and Clinical Operations teams to align payor contracts with care management and quality improvement initiatives.* Develop and oversee value-based arrangements that reward quality, efficiency, and outcomes across the continuum of care.* Monitor contract performance and risk-based metrics to ensure positive financial and clinical results.Stakeholder & Relationship Management:* Serve as the primary executive liaison to payor partners, cultivating relationships that drive long-term collaboration.* Represent the organization in payor forums, policy discussions, and industry coalitions to advocate for equitable reimbursement and care delivery reform.* Provide strategic counsel to hospital and physician leaders on payor trends and their operational impact.* Regularly presents to Executive Leadership Team**REQUIREMENTS**Experience:* Minimum 10 years of progressively responsible experience in healthcare payor contracting, reimbursement, or strategy—preferably within a multi-hospital system.* Proven record of success leading complex payor negotiations and implementing value-based contracts.* Demonstrated understanding of healthcare finance, hospital operations, and regulatory reimbursement frameworks (Medicare, Medicaid, and commercial payors).* Deep understanding of managed care principles, payor-provider dynamics, and hospital reimbursement methodologies (DRG, APC, per diem, capitation, etc.). Strong financial and analytical acumen, with the ability to interpret data and translate insights into strategic action.Skills:* Exceptional negotiation, relationship-building, and executive communication skills. Must communicate and interact effectively at the C-suite level.* Ability to lead cross-functional teams and drive organizational alignment around payor strategy.Education:* A Master’s Degree in Health Care, Public Health or Business Administration is preferred; Bachelor’s Degree in Business, Health Administration, Finance, or related field required.* 10+ years related experience in a managed care payer environment, with a minimum of 5 years management or leadership experience in value-based care.**BENEFITS:*** 401(k) matching* Dental insurance* Employee discount* Health insurance* Health savings account* Life insurance* Paid time off* Vision insurance
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