Senior Director Payer Contracting and Relations

The Senior Director of Payer Contracting and Relations at CentraCare leads payer strategy development and execution. This role oversees payer agreements, including negotiation, renewal, compliance, and reimbursement optimization. Key responsibilities include: lead payer strategy development and execution, oversee negotiation, renewal, compliance, and optimization of payer agreements, cultivate strong payer relationships and resolve issues, and align contracting strategies with organizational goals.

This role is ideal for a strategic leader with a strong background in payer contracting and relationship management. Apply if you are passionate about driving financial and operational success while making a difference for our communities!

Schedule Details:

• Full-time | 80 hours every two weeks
• Primarily Monday – Friday, hours typically between 8am –4:30pm
• Flexibility within typical start and end times
• On-site position, primarily working out of CentraCare South Point

Pay and Benefits (Total Rewards):

• Starting pay $106,179.83 per year, exact wage determined by years of related experience
• Salary range: $106,179.83 - $159,258.80 per year
• Salary and salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
• Full-time benefit eligible | Benefits Guide
• Retirement with matching, up to 7.5%

Qualifications:

• Bachelor’s Degree in business administration, healthcare management, finance, or related field required.
• Master’s Degree preferred
• At least 10 years of experience in healthcare payer contracting and relations, with at least 5 years of leadership experience managing payer negotiations and strategic relationships.
• Extensive knowledge of healthcare reimbursement models, including fee-for-service, shared risk, and value-based contracts
• Proven track record of successful contract negotiations, payer relationship management, and revenue enhancement through innovative contracting strategies.
• Experience working with both commercial and government payers (Medicare, Medicaid), including regulatory compliance.
• Experience working in a large health system, multi-site healthcare organization, or payer environment needed to be successful. 
• Familiarity with payer-specific analytics tools, contract management systems, and healthcare compliance software preferred.
• In-depth understanding of healthcare regulatory environments, including Medicare and Medicaid rules, value-based care contracts and initiatives, and compliance requirements preferred.

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.