Hybrid Managed Care Director: Payer Strategy & Growth

Us Oncology Inc

Trevose (PA)

Hybrid

USD 140,000 - 180,000

Full time

3 days ago
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Job summary

The US Oncology Network is seeking a seasoned Managed Care Director to lead payer contracting and value-based care initiatives across our network practices. This hybrid role requires strong leadership, strategic thinking, and the ability to collaborate with cross-functional teams to optimize reimbursement and market position.

The ideal candidate will have extensive experience in payer relations, contract negotiations, and performance analytics, with a track record of advancing alternative

Qualifications

  • Bachelor's degree required.
  • Master's degree preferred.
  • 10+ years in managed care, payer relations, value-based care, healthcare administration, oncology, or multispecialty practice operations.
  • Experience negotiating payer contracts and developing strategic payer relationships.
  • Experience with value-based care models, reimbursement methodologies, and healthcare financial analysis.

Responsibilities

  • Lead managed care contracting and negotiation strategies with payers, providers, employers, and health systems.
  • Develop and execute payer, reimbursement, and value-based care initiatives aligned with practice growth objectives.
  • Advise practice and organizational leadership on managed care trends, revenue optimization, and market opportunities.
  • Establish and maintain relationships with key payer and provider stakeholders.
  • Support development and implementation of alternative payment models, including value-based reimbursement, shared savings, and risk-based contracts.
  • Analyze financial and operational performance to evaluate contract effectiveness and identify improvement opportunities.
  • Collaborate with operations, finance, pharmacy, revenue cycle, and business development teams to achieve budget and performance goals.
  • Provide guidance on managed care contract review, reimbursement policies, and payer-related operational processes.
  • Monitor industry trends, payer activity, and market conditions to support strategic planning.

Skills

Leadership
Communication
Relationship-building
Negotiation
Public speaking
Remote facilitation
Payer relations

Education

Bachelor's degree
Master's degree in Business, Finance, Healthcare Administration, or related field

Tools

Microsoft Office Suite
Salesforce

Job description

The US Oncology Network is seeking a seasoned Managed Care Director to lead payer contracting and value-based care initiatives across our network practices. This hybrid role requires strong leadership, strategic thinking, and the ability to collaborate with cross-functional teams to optimize reimbursement and market position.

The ideal candidate will have extensive experience in payer relations, contract negotiations, and performance analytics, with a track record of advancing alternative

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