Regional Director of Managed Care

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Position Overview

McKesson is seeking a Regional Director Managed Care Contracting to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement this role you will help practices strengthen payer relationships evaluate contracting opportunities understand reimbursement and market access trends and develop practical strategies that support financial performance operational alignment and patient access.

This is an opportunity to bring managed care expertise payer strategy and consultative problem-solving to a team focused on helping specialty practices navigate complex payer requirements and reimbursement challenges. The ideal candidate is analytical collaborative customer-focused and comfortable translating complex managed care concepts into clear recommendations for practice leaders and internal stakeholders.

What Youll Do

• Advise specialty provider practices on managed care contracting payer strategy reimbursement performance market access and payer relationship management.

• Review analyze negotiate and support renewal of commercial Medicare Advantage Medicaid managed care and other payer agreements.

• Develop payer-specific strategies that support favorable reimbursement specialty therapy access operational sustainability and long-term practice goals.

• Evaluate contract terms fee schedules reimbursement methodologies prior authorization requirements administrative provisions and payer-related barriers that may affect practice performance.

• Monitor payer policy changes reimbursement trends network developments market activity and competitive dynamics; translate findings into clear recommendations.

• Partner with cross-functional teams to support contract administration reporting payer communications implementation planning and ongoing management of managed care initiatives.

• Prepare payer strategy summaries negotiation talking points contract opportunity assessments and other materials that support customer and internal decision-making.

• Represent managed care contracting capabilities in customer meetings regional business reviews payer strategy discussions internal planning sessions and other business forums.

What Were Looking For

• Degree or equivalent and typically requires 7 years of relevant experience.

• Bachelors degree in Finance Accounting Business Healthcare Administration or a related field; advanced degree preferred.

• 4 or more years of progressive healthcare experience in managed care contracting payer relations provider reimbursement healthcare finance or specialty practice support.

• Experience reviewing interpreting negotiating or supporting managed care contracts including reimbursement terms rate structures fee schedules administrative provisions and renewal strategy.

• Strong understanding of healthcare reimbursement payer policy commercial and government payer dynamics network strategy specialty markets and value-based care concepts.

• Ability to analyze payer reimbursement and contract performance data and translate findings into actionable recommendations.

• Strong written verbal presentation negotiation relationship management and consultative skills.

• Ability to work independently in a remote environment manage multiple priorities and support customers across varied markets and payer landscapes.

• Proficiency with Microsoft Word Excel PowerPoint Smartsheet and other analytical or reporting tools.

• Experience in specialty markets such as Oncology Rheumatology Neurology Ophthalmology Gastroenterology or other provider-administered therapy environments is highly desirable.

Work Environment & Travel

This is a remote role with regular engagement across practice leadership corporate and field teams customers specialty providers payers and cross-functional business partners. Travel may be required up to 30% to support customer meetings payer strategy discussions regional business reviews market assessments and internal collaboration.

Regular engagement with practice leadership corporate and field teams customers specialty providers payers and cross-functional business partners through phone email video conference and in-person meetings as appropriate.

This role is a hybrid position. The selected candidate is expected to work on-site at our Las Colinas office a minimum of two (2) days per week with the remaining days worked remotely. Specific in-office days may be designated based on team needs and business priorities.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors including performance experience and skills equity regular job market evaluations and geographical markets. The pay range shown below is aligned with McKessons pay philosophy and pay will always be compliant with any applicable regulations. In addition to base pay other compensation such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson pleaseclick here.

Our Base Pay Range for this position

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McKesson is an Equal Opportunity Employer

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