Director, Managed Care Contracting

Selby Jennings; Dallas (TX); Hybride; USD 140 000 - 210 000; Plein temps

Résumé du poste

Selby Jennings in Dallas-Fort Worth is seeking a Director of Managed Care Contracting to lead payer negotiations and manage strategic relationships across a large provider network.

The role emphasizes hands-on ownership of complex contracts, reimbursement analytics, and collaboration with physicians, finance, legal, and operations. Hybrid role with remote options for the right candidate.

Qualifications

• Five to seven plus years of healthcare contracting experience.
• Hands-on experience with managed care and payer contracting negotiations.
• Experience with transplant contracting or value-based contracting is highly preferred.
• Strong understanding of reimbursement, contract economics, and financial analytics.

Responsabilités

• Lead payer contract negotiations and manage ongoing health plan relationships.
• Serve as front-facing representative with payers, owning negotiations from strategy through execution.
• Manage a portfolio primarily consisting of Tier 2 payers.
• Build and maintain relationships across a network that includes 900+ independent physicians.
• Partner with physicians, finance, legal, operations, and leadership throughout contracting.
• Review reimbursement models and financial analytics to understand impact of proposed terms.
• Negotiate and interpret facility, physician, ancillary, and specialty agreements.
• Support complex arrangements including transplant contracting and value-based care.
• Monitor contract performance, volume trends, implementation, and payer issues.
• Manage multiple negotiations and initiatives with a strong project management mindset.
• Oversee one specialist/project management resource as a key partner.

Connaissances

Payer negotiations

Managed care contracting

Contract economics

Project management

Stakeholder management

Provider relationships

Description du poste

Location: Dallas-Fort Worth, TX | Hybrid preferred | Open to remote for the right candidate

We're partnering with a leading healthcare organization in the Dallas-Fort Worth area that is looking to add a Director of Managed Care Contracting to its team. While candidates local to DFW are preferred, the team is open to considering a remote candidate with the right managed care contracting background.

This is a highly visible, hands-on role responsible for payer negotiations, payer relationships, and internal physician/stakeholder relationships across a large and complex provider network. The Director will primarily own a portfolio of payer relationships, working alongside other contracting leaders who oversee the organization's largest payer accounts.

This could be a great step up for an experienced Manager or Senior Manager who is ready for broader ownership and visibility.

Key Responsibilities

• Lead payer contract negotiations and manage ongoing health plan relationships
• Serve as a front-facing representative with payers, owning negotiations from strategy through execution
• Manage a portfolio primarily consisting of Tier 2 payers
• Build and maintain relationships across a network that includes 900+ independent physicians
• Partner closely with physicians, finance, legal, operations, and leadership throughout the contracting process
• Review reimbursement models and financial analytics to understand the impact of proposed contract terms
• Negotiate and interpret facility, physician, ancillary, and specialty agreements
• Support complex arrangements including transplant contracting and value-based care
• Monitor contract performance, volume trends, implementation, and ongoing payer issues
• Manage multiple negotiations and initiatives with a strong project management mindset
• Oversee one specialist/project management resource who will serve as a key partner in managing the portfolio

Ideal Background

• 5-7+ years of relevant healthcare contracting experience
• Hands-on experience with managed care / payer contracting and negotiations
• Experience with transplant contracting and/or value-based contracting is highly preferred
• Strong understanding of reimbursement, contract economics, and financial analytics
• Comfortable owning relationships with payers, physicians, and internal leadership
• Provider-side experience within a health system, hospital, physician network, CIN, or surgery center is highly relevant
• Candidates coming from the payer side with strong contracting experience who want to transition to a provider organization will also be considered
• Highly organized and comfortable with tracking negotiations, managing projects, and maintaining visibility around progress
• Adaptable and able to navigate multiple stakeholders and competing priorities

Why Consider It?

• Opportunity to join a healthcare organization with a significant presence in the growing Dallas-Fort Worth market
• Hands‑on ownership of payer negotiations rather than purely contract administration
• Exposure to transplant, value-based care, and other complex contracting arrangements
• Highly visible role working directly with payers, physicians, and internal leadership
• Direct report and leadership responsibility
• Strong opportunity for someone at the Manager/Senior Manager level to step into a Director position
• Hybrid in DFW preferred, but remote candidates will be considered for the right background