Managed Care Director: Payer Contracts & Value-Based

US Oncology Network-wide Career Opportunities; Philadelphia (Philadelphia County); Híbrido; USD 140 000 - 210 000; Tempo integral

Resumo da oferta

The US Oncology Network is seeking a Managed Care Director to lead contract negotiations, payer relations, and value-based care initiatives across multiple practices. The role requires strategic partnership with leadership to optimize reimbursement and drive practice growth.

The hybrid position offers domestic travel, with on-site payer meetings and leadership engagements while supporting diverse teams across Pennsylvania and Delaware locations.

Qualificações

• Experience negotiating payer contracts and developing strategic payer relationships.
• Experience with value-based care models and reimbursement methodologies.
• Strong understanding of managed care and provider operations.

Responsabilidades

• Lead managed care contracting and negotiation strategies with payers, providers, and health systems.
• Develop and execute payer, reimbursement, and value-based care initiatives.
• Advise leadership on trends, reimbursement, and market opportunities.
• Establish relationships with payer and provider stakeholders.
• Support development of alternative payment models and risk-based contracts.
• Analyze financial and operational performance of contracts.
• Collaborate with cross-functional teams to meet budgets and goals.
• Provide guidance on contract review and payer policies.
• Monitor industry trends to inform strategic planning.

Conhecimentos

Payer relations

Value-based care

Contract negotiation

Healthcare administration

Oncology experience

Formação académica

Bachelor's degree

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

Ferramentas

Microsoft Office

Salesforce

Descrição da oferta de emprego

The US Oncology Network is seeking a Managed Care Director to lead contract negotiations, payer relations, and value-based care initiatives across multiple practices. The role requires strategic partnership with leadership to optimize reimbursement and drive practice growth.

The hybrid position offers domestic travel, with on-site payer meetings and leadership engagements while supporting diverse teams across Pennsylvania and Delaware locations.