Director of Payer Relations & Managed Care Contracting

Clinical Management Consultants; Fernley (NV); On-site; USD 132,000 - 220,000; Full time

Benefits offered by this job

Health benefits

Retirement benefits

Job summary

Clinical Management Consultants is seeking a Director of Payer Relations & Managed Care Contracting – Healthcare Administration in Northern Nevada. The role leads payer strategy, contract negotiations, and reimbursement optimization within a community-focused hospital setting.

You will report to senior leadership and coordinate with finance, revenue cycle, legal, compliance, analytics, and clinical operations to strengthen payer relationships and ensure contract performance while supporting

Qualifications

• Experience in payer relations and managed care contracting (healthcare industry)
• Strong analytical and negotiation skills
• Ability to lead cross-functional teams and drive strategic initiatives

Responsibilities

• Negotiate and administer payer agreements to optimize contract performance.
• Develop and implement managed care strategy across the organization.
• Analyze reimbursement trends and regulatory changes to ensure compliance.
• Strengthen payer relationships and optimize contract performance with clinical and administrative leaders.

Job description

Director of Payer Relations & Managed Care Contracting – Healthcare Administration

is an exceptional executive opportunity to shape payer strategy, strengthen reimbursement performance, and expand access to high-quality care at a respected Northern Nevada medical center. This high-impact leadership role offers the chance to influence the future of managed care contracting while advancing a mission-driven health system.

The Director of Payer Relations & Managed Care Contracting – Healthcare Administration will join a community-supported organization recognized for clinical quality, patient-centered care, innovative services, and continued investment in advanced medical technologies. The hospital’s strong regional reputation, modern healthcare resources, commitment to operational excellence, and culture of collaboration make this an outstanding destination for an accomplished managed care leader.

The Director of Payer Relations & Managed Care Contracting – Healthcare Administration will report to senior executive leadership and receive support from finance, revenue cycle, legal, compliance, analytics, and clinical operations teams. Responsibilities will include negotiating and administering payer agreements, developing managed care strategy, analyzing reimbursement trends, maintaining regulatory compliance, strengthening payer relationships, and optimizing contract performance alongside friendly nurses and a diverse team of physicians, healthcare professionals, and administrative leaders.

The Director of Payer Relations & Managed Care Contracting – Healthcare Administration will enjoy the exceptional lifestyle of Northern Nevada, where mountain scenery, four-season recreation, and welcoming communities meet convenient access to attractions throughout the state. Hiking, skiing, boating, cycling, golf, concerts, festivals, Lake Tahoe adventures, Reno entertainment, Nevada cultural destinations, diverse cuisine, abundant sunshine, and a balanced pace of life create an ideal setting for professional and personal fulfillment.

The Director of Payer Relations & Managed Care Contracting – Healthcare Administration will receive competitive compensation of up to $220,000, along with a full suite of health and retirement benefits.