Director - Managed Care

MHM Support Services; United States; On-site; USD 120,000 - 170,000; Full time

Job summary

Mercy is seeking a senior leader to coordinate and oversee value-based contracting activities for the Ministry, including risk, gainshare, and pay-for-performance arrangements. You will negotiate, operationalize, and ensure timely communications with physicians, administration, and external stakeholders to align with Mercy Service Standards.

The role requires a Bachelor’s degree in health care or business administration with 5+ years in managed care contracting and a Master’s degree preferred.

Qualifications

• Minimum of five years’ experience in managed care contracting, with emphasis on value-based contracting.
• Must demonstrate organizational and interpersonal skills involving physicians, administration, and other health care professionals.

Skills

Organizational skills

Interpersonal skills

Stakeholder communication

Education

Bachelor’s degree in health care or business administration

Master’s degree preferred (Business or Health Administration)

Job description

Find your calling at Mercy! Coordinates and oversees value-based contracting activities for the Ministry. Responsible for negotiating and operationalizing value-based arrangements to include risk, gainshare, pay for performance, etc., for the Clinic and Facilities. Will be responsible for ensuring accurate and timely communications take place with all stakeholders both within Mercy and as well as external to Mercy, as appropriate. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details

• Education: Bachelor’s Degree in health care or business administration, Master’s Degree preferred.
• Experience: Minimum of five years’ experience in managed care contracting, with emphasis on value based contracting experience.
• Must demonstrate organizational and interpersonal skills involving physicians, administration, and other health care professionals as required.
• Preferred Education: Master’s Degree in Business or Health Administration.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.