Director Payer Contracting

Jefferson Health Plans • Philadelphia, PA

4d

About The Position

This role is responsible for leading payer contracting strategies and managing key relationships with health plans to optimize reimbursement, strengthen financial performance, and support the Enterprise's mission of delivering high-quality, accessible care. This position serves as a critical link between the Enterprise and its payer partners, ensuring that managed care agreements align with organizational goals for growth, value-based care, and operational excellence.

Requirements

• Bachelor’s Degree in Business, Health Administration, Finance, or related field, required.
• 5 years progressive experience in managed care contracting or payer relations within a complex healthcare organization, required.
• 5 years Proven success in negotiating payer agreements, developing reimbursement strategies, and managing payer relationships, required.

Nice To Haves

• Master’s Degree Business, Health Administration, Finance, or related field, preferred.

Responsibilities

• Executes the process to complete required payer contracts/amendments /renewals as assigned.
• Meets independently with peers and payers to further organizational objectives.
• Makes recommendations on financial terms and contract language by collaborating with Payer Analytics, Legal and other internal stakeholders to create comprehensive rate proposal/impact deliverables (includes financial analysis, contract language/redline).
• Ensures complete and accurate implementation of all fully executed contract documents.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees