Strategic Payer & Value-Based Care Director (Remote)

The US Oncology Network; Philadelphia (Philadelphia County); On-site; USD 120,000 - 190,000; Full time

Job summary

The US Oncology Network is seeking a Managing Care Director to lead payer contracting, reimbursement, and value-based care strategies for affiliated practices in the United States. This role negotiates with commercial payers, Medicare, Medicaid, and employers to maximize revenue and support growth across multiple service areas.

The ideal candidate brings 10+ years in managed care or related fields, strong leadership, and experience driving strategic payer relationships.

Qualifications

• Bachelor's degree required.
• Master's degree in related field preferred.
• 10+ years in managed care, payer relations, value-based care, healthcare administration, oncology, or multispecialty practice operations.

Responsibilities

• Lead managed care contracting and negotiation strategies with payers, providers, employers, and health systems.
• Develop and execute payer, reimbursement, and value-based care initiatives aligned with practice growth objectives.
• Advise practice and organizational leadership on managed care trends, revenue optimization, and market opportunities.
• Establish and maintain relationships with key payer and provider stakeholders.
• Support development and implementation of alternative payment models, including value-based reimbursement, shared savings, and risk-based contracts.
• Analyze financial and operational performance to evaluate contract effectiveness and identify improvement opportunities.
• Collaborate with operations, finance, pharmacy, revenue cycle, and business development teams to achieve budget and performance goals.
• Provide guidance on managed care contract review, reimbursement policies, and payer-related operational processes.
• Monitor industry trends, payer activity, and market conditions to support strategic planning.

Skills

Payer contracting

Value-based care

Stakeholder management

Public speaking

Negotiation

Strategic planning

Cross-functional collaboration

Education

Bachelor's degree

Master's degree in Business/Finance/Healthcare Administration

Tools

Microsoft Office Suite

Salesforce

Job description

The US Oncology Network is seeking a Managing Care Director to lead payer contracting, reimbursement, and value-based care strategies for affiliated practices in the United States. This role negotiates with commercial payers, Medicare, Medicaid, and employers to maximize revenue and support growth across multiple service areas.

The ideal candidate brings 10+ years in managed care or related fields, strong leadership, and experience driving strategic payer relationships.