Strategic Payer Contracting Director - Remote

Cleveland Clinic; Cleveland (OH); Remote; USD 181,000 - 358,000; Full time

Job summary

Cleveland Clinic in the United States seeks a Senior Director, Payer Contracting to set and execute market-level payer strategy, lead major negotiations, and strengthen a diverse contract portfolio. You will oversee the contracting life cycle across fee-for-service and value-based models, aligning with financial and clinical priorities while driving measurable results.

The role requires leading a team of contracting professionals across the enterprise, partnering with physicians, Finance, Legal,

Qualifications

• Ten years of managed care experience in a payer or provider organization.
• Five years of advanced value-based care or risk-based percent of premium management and negotiating experience.
• Deep knowledge of reimbursement methodologies and contract analytics.

Responsibilities

• Develop and execute payer strategies reflecting market position and financial goals.
• Lead high-stakes negotiations with market and national health plans across arrangements.
• Structure and negotiate diverse provider-payer product agreements.
• Own the contracting life cycle from strategy to renewal and performance monitoring.
• Build analytic frameworks evaluating reimbursement, contract yield, and total cost of care.
• Lead, coach, and develop contracting professionals and analysts.
• Influence stakeholders to achieve enterprise-wide outcomes.
• Identify opportunities for market growth and innovative partnerships.

Skills

Managed care experience

Negotiation experience

Value-based care

Risk-based contracts

Contract analytics

Education

Bachelor's degree in business, marketing, or health care related field

Master’s degree

Job description

Cleveland Clinic in the United States seeks a Senior Director, Payer Contracting to set and execute market-level payer strategy, lead major negotiations, and strengthen a diverse contract portfolio. You will oversee the contracting life cycle across fee-for-service and value-based models, aligning with financial and clinical priorities while driving measurable results.

The role requires leading a team of contracting professionals across the enterprise, partnering with physicians, Finance, Legal,