Oncology Managed Care Director & Payer Strategy

US Oncology Inc.; Dyer (IN); Hybrid; USD 140,000 - 200,000; Full time

Benefits offered by this job

M/D/V

Life Ins.

401(k)

PTO

Paid Holidays

Bonus Programs

Job summary

US Oncology Inc. in Indiana is seeking a Healthcare Director Managed Care to lead direct contracts with self-funded employers and negotiate with commercial payers and Medicare Advantage plans.

The role focuses on developing value-based care strategies, directing all managed care initiatives, and guiding provider networks to maximize net revenues while aligning with corporate objectives.

Qualifications

• 10+ years of professional experience related to direct-to-employer contracting, managed care, value-based care, healthcare administration, payer relations, or oncology or multispecialty practice operations.
• Bachelor’s Degree required; Master’s in Finance, Business or Healthcare Administration preferred.
• Experience developing relationships with high level decision-makers in payer, third-party administrator and specialty practice environments.
• Experience in healthcare management in a managed care environment including significant experience in commercial payer strategies, pricing, reimbursement and healthcare costing analysis.

Responsibilities

• Plans, directs, coordinates and monitors all managed care activities to successfully bring to market new products, methodologies, and strategies and to negotiate compelling contracts with both payers, including direct-to-employer opportunities and providers.
• Directs and advises on strategies and solutions with practices and McKesson operations, finance, Managed Care team and the pharmacy team; sets benchmarks to ensure contracts meet budgeted objectives.
• Evaluates practice trends and variances to plan and provide information to senior management and field; communicates with internal customers on payer-related matters.
• Collaborates with revenue cycle leadership to design, monitor and improve policy, procedures and processes for timely and accurate reimbursement.
• Manages relationships with payers, providers, health systems and employers to maximize revenue opportunities and drive growth across markets.

Skills

Direct-to-employer

Managed care

Value-based care

Healthcare administration

Payer relations

Oncology operations

Executive presence

Leadership

Organizational skills

Education

Bachelor's Degree

Master's degree preferred

Tools

Microsoft Office Suite

Salesforce

Job description

US Oncology Inc. in Indiana is seeking a Healthcare Director Managed Care to lead direct contracts with self-funded employers and negotiate with commercial payers and Medicare Advantage plans.

The role focuses on developing value-based care strategies, directing all managed care initiatives, and guiding provider networks to maximize net revenues while aligning with corporate objectives.