Regional Director, Payor Relations & Managed Care Growth

PAM Health; Enola (PA); On-site; USD 150,000 - 210,000; Full time

Job summary

PAM Health is seeking a Regional Director of Managed Care to secure and expand payer contracts and networks across markets. You will lead negotiation efforts, develop strategic relationships with payors, and support the Central Billing Office with coverage insights and contract terms.

Responsibilities include managing contract rate schedules, collaborating with facilities and leadership, and driving performance against cost and access objectives in a competitive healthcare landscape.

Qualifications

• 5+ years in either a network role within a managed care plan, public payor program, or provider contracting.
• Certifications in Managed Care are a plus; strong financial detail, communications, and entrepreneurial mindset to grow revenues.

Responsibilities

• Lead and negotiate all managed care agreements across PAM Health facilities.
• Build and maintain local, regional, and national payor relationships.
• Provide contract summaries and rate escalation recommendations to facilities and CBO.
• Deliver analytics on opportunities and threats to SVP of Managed Care.
• Ensure compliance with PAM Health requirements and reimbursement standards.

Skills

Contracting

Payor Relations

Managed Care

Negotiation

Relationship Management

Analytics

Education

College Degree

Job description

PAM Health is seeking a Regional Director of Managed Care to secure and expand payer contracts and networks across markets. You will lead negotiation efforts, develop strategic relationships with payors, and support the Central Billing Office with coverage insights and contract terms.

Responsibilities include managing contract rate schedules, collaborating with facilities and leadership, and driving performance against cost and access objectives in a competitive healthcare landscape.