Head of Payer Relations & Managed Care

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

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