Hybrid: Managed Care Strategy & Payer Relations Director

US Oncology Inc.; Philadelphia (Philadelphia County); Hybrid; USD 150,000 - 190,000; Full time

Job summary

The US Oncology Network seeks a Managed Care Director to architect and lead payer contracting, reimbursement, and value-based care strategies for multiple practices. This role negotiates with commercial payers, Medicare, and Medicaid, driving revenue growth and market strength in a hybrid travel model across Pennsylvania and Delaware.

The ideal candidate has 10+ years in managed care, payer relations, and healthcare administration, with strong leadership, communication, and stakeholder

Qualifications

• Bachelor's degree required.
• Master's degree preferred in Business, Finance, Healthcare Administration, or related field.
• 10+ years of experience 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 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

Managed care strategy

Payer relations

Contract negotiations

Value-based care

Executive leadership

Public speaking

Education

Bachelor's degree

Master's degree in Business/Finance/Healthcare Administration

Tools

Microsoft Office Suite

Salesforce

Job description

The US Oncology Network seeks a Managed Care Director to architect and lead payer contracting, reimbursement, and value-based care strategies for multiple practices. This role negotiates with commercial payers, Medicare, and Medicaid, driving revenue growth and market strength in a hybrid travel model across Pennsylvania and Delaware.

The ideal candidate has 10+ years in managed care, payer relations, and healthcare administration, with strong leadership, communication, and stakeholder