Director, ContractPay Relations
Jacksonville, FL - USA
Job Summary
This is a hybrid position and must be located within 100 miles of the Mayo Clinic campus located in Jacksonville FL for occasional on-site expectations based on business needs.
Organizational Relationships
Reports to the Core Contracting/Specialty Contracting Revenue Strategy and Innovation (RSI) Division Chair or Senior Director. Partners closely with RSI Medical Directors Senior Directors Managers Analytics and cross-site and cross-functional RSI teams. Represents RSI Contracting and Payer Relations on Mayo Clinic committees and leadership forums as assigned. Maintains frequent engagement with Mayo Clinic leadership physicians and senior administrators and collaborates across administrative functions including revenue cycle finance marketing access management referral coordination office and clinical practice areas to advance enterprise objectives. Works collaboratively with internal partners to align and leverage shared initiatives and strategic priorities. Engages directly with leaders from external organizations including payer organizations large employers and employer consultants or associations. Serves as a mentor and leader committed to developing team capabilities ensuring the organization remains agile and aligned with the evolving healthcare and payer landscape.
Job Description
Responsible for developing and advancing strategic relationships with payers and employers to expand patient access to Mayo Clinic Florida services. Leads the negotiation and management of payer and specialty contracts for assigned organizations and collaborates with the RSI Division Chair and/or Senior Director on negotiations with other key payers. Serves as a core member of the Contracting and Payer Relations (CPR) team with primary accountability for building strengthening and optimizing strategic partnerships. Drafts and negotiates complex contract language to ensure alignment with organizational goals and strategic priorities. Collaborates closely with internal Mayo Clinic administrative partners to support efficient contract implementation monitoring and ongoing management. Provides strategic oversight of external payer and employer engagement to proactively identify address and resolve operational and contractual issues. Leads the design and execution of initiatives that enhance market performance and practice yield as directed by RSI leadership. Maintains strong proactive relationships with external stakeholders through consistent communication and identification of mutually beneficial opportunities. Establishes and maintains effective collaboration with Mayo Clinic practice and administrative leadership. Contributes to the development and execution of departmental regional and enterprise-level strategies aimed at improving market share yield and patient access. Advises Mayo Clinic leadership on contract provisions reimbursement trends and evolving payer and employer market dynamics. Serves as an institutional subject matter expert on healthcare payer markets and related strategic initiatives.
Ideal Candidate
The ideal candidate possesses a strong command of managed care principles and brings a combination of strategic vision advanced analytical capability and diplomatic acumen. This individual demonstrates the ability to navigate complex and often competing stakeholder perspectives build internal and external alignment and advance transformative payer relationships. A proven track record of data-driven decision-making is essential including the ability to translate analytics into compelling value propositions that support successful negotiations and long-term partnerships. The successful candidate thrives in high-pressure fast-paced market environments effectively prioritizes competing demands and exercises sound judgment within a collaborative team-oriented setting. They balance enterprise-level strategy with strong operational discipline to ensure assigned payer portfolios advance Mayo Clinics broader mission and growth objectives.
Qualifications
Masters degree in business healthcare or other related field required and 10 years of finance management experience with a progressive lieu of a masters degree a bachelors degree in business finance or a related field plus 12 years of finance management experience with progressive responsibilities.
Must have legal contract structure content and health insurance marketplace experience. Requires a broad experience and proven knowledge of corporate benefit options insurance industry standards payer payment methodologies managed care concepts health care finance fundamentals medical terminology third party billing payment and collection principles. Must have superior skills in leadership relationship management verbal and written communications organization decision making and the ability to work collaboratively with multiple disciplines internal and external to the organization. Need strong skills in managing multiple tasks concurrently. Positive attitude and strong persuasive skills needed. Direct reports will include other department personnel. Prefer experience with implementing major organizational change including significant contract or operational redesign and other operational efficiency improvements as payer dynamics have changed. Promotes teamwork and seeks to maximize the potential of all employees. Needs or requires little direction. Is fully capable of independent thought and direction. Able to work function and succeed in a consensus driven collaborative culture and work environment. Must be an individual of high energy positive attitude and a proven track record of getting results. Experience with or sensitivity to the uniqueness of a combined research education and patient care setting desirable. Travel is required.
Preferred Qualifications
- Experience in healthcare administration preferably within an academic center or mid/large integrated medical center is preferred.
Authorization to work and remain in the United States without necessity for Mayo Clinic sponsorships now or in the future (for example be a U.S. Citizen national or permanent resident refugee or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.
Required Experience:
Director
About Company
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive ... View more