DIRECTOR, MANAGED CARE CONTRACTING

International Executive Service Corps; California, Northern (MO, KY); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Henry Mayo Newhall Hospital in Valencia, California, seeks a Director of Managed Care Contracting to lead payor contracting and Revenue Integrity. You will negotiate, execute, and manage complex agreements, partner with the CFO, and align contracts with regulatory requirements and market dynamics.

You will oversee reimbursement accuracy, contract compliance, and revenue optimization through collaboration with clinical, operational, and finance leaders, driving financial performance and long-term

Qualifications

• Minimum seven years in hospital/healthcare insurance with payer contracts and analytics.
• Experience negotiating and managing payer contracts.
• Advanced skills in Excel, hospital billing systems and financial software.
• Strong communication and analytical capabilities.

Responsibilities

• Lead development, negotiation, execution and ongoing management of managed care agreements.
• Collaborate with CFO and senior leaders to align contracts with goals and regulatory requirements.
• Evaluate proposals with financial/operational analysis to maximize value and mitigate risk.
• Oversee accurate reimbursement, contract compliance and revenue optimization.

Skills

Negotiating payer contracts

Advanced Excel

Hospital billing systems

Financial software & report writing

Education

Bachelor's degree in economics, business, finance or healthcare

Master’s degree in healthcare economics, policy or finance

Job description

Your Work Here Matters. Your Career Here Thrives.

Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital, that's not just a tagline — it's the reality for every member of our team.

We're not just a hospital. We're the heartbeat of the Santa Clarita Valley — a 357-bed, not-for-profit Level II Trauma Center that has been a trusted pillar of this community since 1975. And we're looking for passionate, driven professionals who want to be part of something bigger than themselves.

Where Clinical Excellence Meets Cutting-Edge Care

Here, you'll work alongside an award-winning team delivering some of the most advanced medical services in the region, including:

• Comprehensive heart and vascular care


• Advanced stroke treatment


• Cancer care in partnership with Keck Medicine of USC


• Women's imaging and breast health services


• Emergency and trauma care


• Cardiac rehabilitation and wellness programs

As a key part of Los Angeles County's STEMI receiving network, we provide lifesaving cardiac intervention through our state-of-the-art Roberta G. Veloz Cardiac Cath Lab. We continuously invest in the latest technology and innovation — which means you'll always be working at the forefront of modern medicine.

A Culture You'll Be Proud to Be Part Of

Our vision — To Be the Most Patient-Centric Hospital Anywhere — drives everything we do. But it's our people who make that vision a reality. Physicians, nurses, staff, and volunteers come together here in a culture rooted in compassion, collaboration, and excellence.

When you join Henry Mayo, you're not just accepting a job offer. You're joining a family that genuinely cares — about our patients, our community, and you.

Located in Beautiful Valencia, California

Nestled in the vibrant Santa Clarita Valley, you'll enjoy an exceptional quality of life both inside and outside of work — with top-rated schools, scenic surroundings, and a welcoming community that generations of families proudly call home.

Ready to make your mark? Join the team that's been setting the standard for compassionate, innovative healthcare for nearly 50 years. Your next great chapter starts here.

Job Summary

The Director of Managed Care Contracting provides strategic leadership for the hospital’s payor contracting and Revenue Integrity functions; driving initiatives that optimize reimbursement, strengthen financial performance, and support long-term strategic objectives. This position oversees the development, negotiation, execution, and ongoing management of managed care agreements in collaboration with the Chief Financial Officer, ensuring contracts align with organizational goals, regulatory requirements, and market dynamics. Leads complex contract negotiations, evaluates payor proposals through financial and operational analysis, and develops strategies that maximize contract value while mitigating risk. Additionally, this position oversees accurate reimbursement, contract compliance, and revenue optimization through effective collaboration with clinical, operational, and finance leaders.

What You'll Bring to the Team

• Required demonstrated knowledge and experience of negotiating and managing payer contracts.


• Required demonstrated knowledge and experience in using Excel (demonstrating advanced usage of formulas and modeling techniques), hospital billing systems, and other financial software systems, including report writing, that supports review and analysis of financial performance by payer.


• Demonstrates ability to communicate both verbally and in writing.


• Demonstrates ability to analyze problematic situations and implement solutions.


• Customer service skills.


• Demonstrates experience and knowledge of principles and practices used in the development of payer contracts, contract administration, and negotiation strategies.

Licensure and Certification

• N/A

Education

• Bachelor's degree required; preferably in economics, business, finance, or healthcare.


• Preferred Master’s degree in healthcare economics, healthcare policy, or finance.

Experience

• Minimum seven (7) years recent employment in a hospital, medical or healthcare insurance field with experience in the negotiation and management of payer contracts and analytics.


• Preferred progressive hospital payer contracting experience, Direct payer negation strategy development, Payer relationship management, Management and supervision of Payer Contract Analyst position