Director, Managed Care Contracting & Payor Strategy

washingtonhospital

Fremont (CA)

On-site

USD 196,000 - 294,000

Full time

14 days+

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Job summary

Washington Hospital seeks a Director of Managed Care Contracting to lead contracting efforts across commercial, Medicare Advantage, Medi-Cal, and other payor relations. You will oversee financial analyses, reporting, and strategic negotiations to support WHHS and related entities.

The role requires strong modeling skills, leadership, and deep industry knowledge. The position reports to the Vice President & Chief Revenue Officer and involves cross-department collaboration, regulatory awareness,

Qualifications

Bachelor's degree required; ten years’ experience may substitute formal education.
Master’s degree in health-related field desirable.
Minimum seven years in a Managed Care Contracting role within a health plan or hospital; five years in leading Payor Relations/Contracting staff.

Responsibilities

Negotiate and manage managed care contracts; maintain strategic relationships.
Conduct financial analysis and modeling of contracts for content and returns.
Develop proposals based on WHHS strategies and growth objectives.
Disseminate contract details to stakeholders and ensure accuracy of all projects and analyses.
Support revenue cycle management and price transparency initiatives.