Location: Dallas-Fort Worth, TX | Hybrid preferred | Open to remote for the right candidate
We're partnering with a leading healthcare organization in the Dallas-Fort Worth area that is looking to add a Director of Managed Care Contracting to its team. While candidates local to DFW are preferred, the team is open to considering a remote candidate with the right managed care contracting background.
This is a highly visible, hands-on role responsible for payer negotiations, payer relationships, and internal physician/stakeholder relationships across a large and complex provider network. The Director will primarily own a portfolio of payer relationships, working alongside other contracting leaders who oversee the organization's largest payer accounts.
This could be a great step up for an experienced Manager or Senior Manager who is ready for broader ownership and visibility.
Key Responsibilities
- Lead payer contract negotiations and manage ongoing health plan relationships
- Serve as a front-facing representative with payers, owning negotiations from strategy through execution
- Manage a portfolio primarily consisting of Tier 2 payers
- Build and maintain relationships across a network that includes 900+ independent physicians
- Partner closely with physicians, finance, legal, operations, and leadership throughout the contracting process
- Review reimbursement models and financial analytics to understand the impact of proposed contract terms
- Negotiate and interpret facility, physician, ancillary, and specialty agreements
- Support complex arrangements including transplant contracting and value-based care
- Monitor contract performance, volume trends, implementation, and ongoing payer issues
- Manage multiple negotiations and initiatives with a strong project management mindset
- Oversee one specialist/project management resource who will serve as a key partner in managing the portfolio
Ideal Background
- 5-7+ years of relevant healthcare contracting experience
- Hands-on experience with managed care / payer contracting and negotiations
- Experience with transplant contracting and/or value-based contracting is highly preferred
- Strong understanding of reimbursement, contract economics, and financial analytics
- Comfortable owning relationships with payers, physicians, and internal leadership
- Provider-side experience within a health system, hospital, physician network, CIN, or surgery center is highly relevant
- Candidates coming from the payer side with strong contracting experience who want to transition to a provider organization will also be considered
- Highly organized and comfortable with tracking negotiations, managing projects, and maintaining visibility around progress
- Adaptable and able to navigate multiple stakeholders and competing priorities
Why Consider It?
- Opportunity to join a healthcare organization with a significant presence in the growing Dallas-Fort Worth market
- Hands-on ownership of payer negotiations rather than purely contract administration
- Exposure to transplant, value-based care, and other complex contracting arrangements
- Highly visible role working directly with payers, physicians, and internal leadership
- Direct report and leadership responsibility
- Strong opportunity for someone at the Manager/Senior Manager level to step into a Director position
- Hybrid in DFW preferred, but remote candidates will be considered for the right background
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