Corporate Director of Payer Contracting & Strategy

Tyvan LLC; Houston (TX); Vor Ort; USD 200.000 - 320.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, Vision plans

401K with company match

Employee Assistance Program

PTO and paid holidays

Zusammenfassung

Nutex Health is seeking a Corporate Director of Payer Contracting & Strategy to lead hospital system payer initiatives. You will oversee negotiations, contract management, and the development of value-based arrangements to optimize revenue and align with organizational goals.

Ideal candidates bring 10+ years in healthcare payer contracting, strong negotiation, and strategic leadership. This senior role collaborates with Finance, Legal, and Compliance to drive performance in a multi-hospital

Qualifikationen

• 10+ years in healthcare payor contracting, reimbursement, or strategy.
• Proven record of complex payor negotiations and value-based contracts.
• Understanding of Medicare, Medicaid, and commercial payors.
• Strong analytical and financial acumen for data-driven actions.

Aufgaben

• Lead hospital system payor strategy aligned with growth, quality, and finances.
• Oversee negotiation and management of payer contracts including Medicare, Medicaid, and commercial.
• Drive value-based contracts and innovative payment models.
• Provide strategic counsel to executives and represent in payor forums.
• Develop dashboards and monitor contract performance with Finance.

Kenntnisse

Negotiation

Executive communication

Leadership

Strategic planning

Relationship building

Ausbildung

Master’s Degree in Health Care or MBA

Bachelor’s Degree in Business/Health Admin/Finance

Jobbeschreibung

Corporate 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.RESPONSIBILITIESStrategic 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 TeamREQUIREMENTSExperience: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.BENEFITSCompetitive salary commensurate with experienceMedical, Dental, Vision plans; zero-premium plans available for employee-onlyHSA, FSA, and Dependent Care Account401K with company matchEmployee Assistance ProgramVoluntary plans such as Critical Illness and LifeEmployee Stock Purchase ProgramCompany paid STD, LTD, Life InsurancePTO, Paid holidays#JM0625