Regional Director of Managed Care

McKesson; Irving (TX); Hybrid; USD 118,000 - 197,000; Full time

Job summary

McKesson seeks a Regional Director, Managed Care Contracting to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. This hybrid role requires on-site work at the Las Colinas office at least two days per week with remaining days remote.

You will analyze contracts, develop payer-specific strategies, and translate findings into actionable recommendations while collaborating with internal teams to drive favorable reimbursement and patient

Qualifications

• Degree or equivalent and typically requires 7+ years of relevant experience.
• Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or a related field; advanced degree preferred.
• 4+ years of progressive healthcare experience in managed care contracting, payer relations, provider reimbursement, healthcare finance, or specialty practice support.
• Experience reviewing, interpreting, negotiating, or supporting managed care contracts, including reimbursement terms, rate structures, fee schedules, administrative provisions, and renewal strategy.
• Strong understanding of healthcare reimbursement, payer policy, commercial and government payer dynamics, network strategy, specialty markets, and value-based care concepts.
• Ability to analyze payer, reimbursement, and contract performance data and translate findings into actionable recommendations.
• Strong written, verbal, presentation, negotiation, relationship management, and consultative skills.
• Ability to work independently in a remote environment, manage multiple priorities, and support customers across varied markets and payer landscapes.

Responsibilities

• Advise specialty provider practices on managed care contracting, payer strategy, reimbursement performance, market access, and payer relationship management.
• Review, analyze, negotiate, and support renewal of commercial, Medicare Advantage, Medicaid managed care, and other payer agreements.
• Develop payer-specific strategies that support favorable reimbursement, specialty therapy access, operational sustainability, and long-term practice goals.
• Evaluate contract terms, fee schedules, reimbursement methodologies, prior authorization requirements, administrative provisions, and payer-related barriers that may affect practice performance.
• Monitor payer policy changes, reimbursement trends, network developments, market activity, and competitive dynamics; translate findings into clear recommendations.
• Partner with cross-functional teams to support contract administration, reporting, payer communications, implementation planning, and ongoing management of managed care initiatives.
• Prepare payer strategy summaries, negotiation talking points, contract opportunity assessments, and other materials that support customer and internal decision-making.
• Represent managed care contracting capabilities in customer meetings, regional business reviews, payer strategy discussions, internal planning sessions, and other business forums.

Skills

Analytical thinking

Communication

Negotiation

Relationship management

Presentation skills

Consultative problem-solving

Remote work capability

Education

Bachelor's degree in Finance/Accounting/Business/Healthcare Administration

Advanced degree preferred

Tools

Microsoft Word

Excel

PowerPoint

Salesforce.com

Smartsheet

Job description

Position Overview

McKesson is seeking a Regional Director, Managed Care Contracting to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. In this role, you will help practices strengthen payer relationships, evaluate contracting opportunities, understand reimbursement and market access trends, and develop practical strategies that support financial performance, operational alignment, and patient access.

This is an opportunity to bring managed care expertise, payer strategy, and consultative problem‑solving to a team focused on helping specialty practices navigate complex payer requirements and reimbursement challenges. The ideal candidate is analytical, collaborative, customer‑focused, and comfortable translating complex managed care concepts into clear recommendations for practice leaders and internal stakeholders.

What You'll Do

• Advise specialty provider practices on managed care contracting, payer strategy, reimbursement performance, market access, and payer relationship management.
• Review, analyze, negotiate, and support renewal of commercial, Medicare Advantage, Medicaid managed care, and other payer agreements.
• Develop payer‑specific strategies that support favorable reimbursement, specialty therapy access, operational sustainability, and long‑term practice goals.
• Evaluate contract terms, fee schedules, reimbursement methodologies, prior authorization requirements, administrative provisions, and payer‑related barriers that may affect practice performance.
• Monitor payer policy changes, reimbursement trends, network developments, market activity, and competitive dynamics; translate findings into clear recommendations.
• Partner with cross‑functional teams to support contract administration, reporting, payer communications, implementation planning, and ongoing management of managed care initiatives.
• Prepare payer strategy summaries, negotiation talking points, contract opportunity assessments, and other materials that support customer and internal decision‑making.
• Represent managed care contracting capabilities in customer meetings, regional business reviews, payer strategy discussions, internal planning sessions, and other business forums.

What We're Looking For

• Degree or equivalent and typically requires 7+ years of relevant experience.
• Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or a related field; advanced degree preferred.
• 4 or more years of progressive healthcare experience in managed care contracting, payer relations, provider reimbursement, healthcare finance, or specialty practice support.
• Experience reviewing, interpreting, negotiating, or supporting managed care contracts, including reimbursement terms, rate structures, fee schedules, administrative provisions, and renewal strategy.
• Strong understanding of healthcare reimbursement, payer policy, commercial and government payer dynamics, network strategy, specialty markets, and value‑based care concepts.
• Ability to analyze payer, reimbursement, and contract performance data and translate findings into actionable recommendations.
• Strong written, verbal, presentation, negotiation, relationship management, and consultative skills.
• Ability to work independently in a remote environment, manage multiple priorities, and support customers across varied markets and payer landscapes.
• Proficiency with Microsoft Word, Excel, PowerPoint, Salesforce.com, Smartsheet, and other analytical or reporting tools.
• Experience in specialty markets such as Oncology, Rheumatology, Neurology, Ophthalmology, Gastroenterology, or other provider‑administered therapy environments is highly desirable.

Work Environment & Travel

This is a remote role with regular engagement across practice leadership, corporate and field teams, customers, specialty providers, payers, and cross‑functional business partners. Travel may be required up to 30% to support customer meetings, payer strategy discussions, regional business reviews, market assessments, and internal collaboration.

Regular engagement with practice leadership, corporate and field teams, customers, specialty providers, payers, and cross‑functional business partners through phone, email, video conference, and in‑person meetings as appropriate.

This is a hybrid position. The selected candidate is expected to work on‑site at our Las Colinas office a minimum of two (2) days per week, with the remaining days worked remotely. Specific in‑office days may be designated based on team needs and business priorities.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long‑term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$118,100 - $196,900

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) [e-mail] or (Canada) [e-mail]. Resumes or CVs submitted to this email box will not be accepted.

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