Director, Payer Relations/Pricing

Childrensheartclinic; Minnesota; On-site; USD 100,000 - 130,000; Full time

Job summary

A leading pediatric health system in Minnesota seeks a strategic leader for payer engagement. This role involves overseeing contracting and revenue management, leading a team, and ensuring compliance within a complex healthcare environment. Ideal candidates will have extensive experience in healthcare finance and strong leadership skills.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Benefits

Qualifications

• Minimum of 10 years in healthcare financial or managed care supervision.
• Experience with charge description masters and value-based models.

Responsibilities

• Provide strategic and financial leadership for payer engagement strategies.
• Oversee system-wide contracting program and revenue management.
• Lead a team and ensure contract accuracy and compliance.

Skills

Leadership

Strategic Planning

Communication

Relationship Building

Contracting Expertise

Education

Bachelor’s degree in healthcare, accounting, finance, management, or related field

Master’s degree

Job description

About Children’s Minnesota

Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota dedicated exclusively to children, from before birth through young adulthood. Established in 1924, it is an independent, not-for-profit organization serving children throughout the Upper Midwest with two hospitals, nine primary care clinics, multiple specialty clinics, and seven rehabilitation sites. Recognized as The Kids Experts in our region, Children’s Minnesota is regularly ranked by U.S. News & World Report as a top children’s hospital. Find us on Facebook, Twitter, and Instagram @childrensmn. Visit childrensMN.org.

Children’s Minnesota was named one of Modern Healthcare’s 2023 Top Diversity Leaders, honoring organizations leading in public policy, care delivery, and diversity, equity, and inclusion.

Department Overview

Serving as Minnesota's children’s hospital since 1924, Children’s Hospitals and Clinics of Minnesota is the eighth-largest pediatric health care organization in the U.S. It provides nearly 13,000 inpatient visits and over 200,000 outpatient visits annually. The organization includes a 319-bed hospital with services across all major pediatric specialties, as well as outpatient centers in Minnetonka, Roseville, and Woodbury, offering services from emergency care to specialized outpatient programs.

Position Summary

This role provides strategic and financial leadership to enhance Children’s value through payer engagement strategies. Responsibilities include overseeing the system-wide contracting program and revenue management, developing and implementing payer engagement initiatives, and managing the entire contracting and chargemaster processes. The position involves leading a team, recruiting staff, and ensuring contract accuracy, compliance, and system integration.

**Required Education:** Bachelor’s degree in healthcare, accounting, finance, management, or related field; Master’s preferred.

**Experience:** Minimum of 10 years in healthcare financial or managed care supervision, with proven success in complex health systems, familiarity with value-based models, and experience with charge description masters.

**Skills:** Strong understanding of healthcare market trends, contracting expertise, leadership ability, strategic planning, excellent communication, and relationship-building skills.

Physical Demands

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The salary range is competitive based on market data. Compensation includes potential benefits such as medical, dental, vision, retirement, and others. Eligibility for shift differentials or premium pay may apply for night, weekend, or on-call roles. All offers are contingent upon background checks, health assessments, and legal work authorization.

Children’s Minnesota is an equal opportunity employer, committed to diversity and inclusion in its hiring practices.