Director Payor Contracting
About The Position
The Director, Payor Contracting reports directly to the Vice President Revenue Cycle and Managed Care and is responsible for coordinating and executing payor contracting strategies. The role negotiates and manages payor contracts to support the financial, operational, and strategic goals of Valley Children's Healthcare. The Director develops and maintains productive payor relationships, negotiates hospital, medical group, and primary care contracts, and ensures contract performance goals are met. The position serves as the primary lead for all payer relations at Valley Children's Healthcare and directs analysis and reporting for managed care strategies and executive-level decision support. The role requires broad-based knowledge of hospital and medical group operations, expert knowledge of the managed care industry and its application in a hospital setting, and knowledge of hospital and medical group contract management and financial information systems. The position is part of the Revenue Cycle Division, whose departments may operate onsite, hybrid, or entirely from home; the posting does not specify the work arrangement for this position.
Requirements
- Four-year college degree in a related field or discipline.
- At least five years of related work experience.
- Broad-based knowledge of hospital and medical group operations.
- Expert knowledge of the managed care industry and its application in a hospital setting.
- Knowledge of hospital and medical group contract management and financial information systems.
Nice To Haves
- Master's degree in a related field or discipline.
- At least two years of managerial experience.
Responsibilities
- Coordinate and execute payor contracting strategies.
- Negotiate and manage payor contracts that meet the organization's financial, operational, and strategic goals.
- Develop and maintain productive payor relationships.
- Negotiate hospital, medical group, and primary care contracts.
- Ensure contract performance goals are met.
- Lead payer relations at Valley Children's Healthcare.
- Direct analysis and reporting for managed care strategies and executive-level decision support.
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What This Job Offers
Job Type
Full-time
Career Level
Director
