Director of Managed Care Contracting
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Job Location:
Sioux Falls, SD - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
We are seeking a strategic relationship-driven leader to advance managed care contracting for Independent Healthcare Associates (IHA). This high-impact role sits at the intersection of payer strategy contract negotiation and provider partnerships offering the opportunity to lead contracting initiatives across a growing independent network own key payer relationships influence reimbursement outcomes and drive innovation in value-based care. Working closely with executive leadership this position provides strong visibility and the ability to shape long-term directionideal for a professional in payer contracting provider relations or managed care ready to step into a more strategic leadership role. This role offers a unique opportunity to step into a Director-level position with strategic influence and executive visibility.
IMPACT AND RESPONSIBILITIES
Lead the development and execution of managed care contracting strategies
Negotiate agreements with commercial and government payers
Build and strengthen payer and employer partnerships
Drive initiatives related to value-based and alternative payment models
Monitor payer trends and identify opportunities for optimization
Analyze reimbursement data and provide strategic insights to stakeholders
Resolve complex claims and contract performance issues
Support the growth of the provider network and clinical integration efforts
QUALIFICATIONS
We are seeking a professional with a strong foundation in payer contracting and healthcare strategy who is ready to take ownership of a critical function.
- Bachelors degree in Healthcare Administration Business or related field required; Masters degree (MHA MBA or related) preferred
- 5 years of experience in healthcare administration insurance or managed care
- Experience in managed care contracting provider relations or payer strategy
- Experience working within a health system physician group or health plan (e.g. Avera Health Sanford Health Wellmark Blue Cross Blue Shield UnitedHealthcare Medica)
- Proven experience negotiating and managing payer contracts
- Familiarity with value-based care models and reimbursement structures
Strong analytical communication and relationship management skills
BENEFITS AND PERKS
- Health (BCBS) dental and vision insurance eligible on your first day
- Substantial annual discretionary bonus
- Very competitive pay and paid time off
- Generous 401(k) employer match
- Free daily lunches
- Professional license reimbursement
- Educational assistance and professional growth opportunities
- And more
Sioux Falls Specialty Hospital is proud to be physician-owned and operated. |
Required Experience:
Director
Key Skills
About Company
Discover excellence at Sioux Falls Specialty Hospital. Leading-edge care, compassionate service. Your health, our commitment. Welcome to a healthier you.
