Director of Managed Care Contracting
Sioux Falls Specialty Hospital
Sioux Falls, SD
We are seeking a strategic, relationship-driven leader to advance managed care contracting for Independent Healthcare Associates (IHA). This high-impact role sits at the intersection of payer strategy, contract negotiation, and provider partnerships, offering the opportunity to lead contracting initiatives across a growing independent network, own key payer relationships, influence reimbursement outcomes, and drive innovation in value-based care. Working closely with executive leadership, this position provides strong visibility and the ability to shape long-term direction—ideal for a professional in payer contracting, provider relations, or managed care ready to step into a more strategic leadership role. This role offers a unique opportunity to step into a Director-level position with strategic influence and executive visibility.
IMPACT AND RESPONSIBILITIES
• Lead the development and execution of managed care contracting strategies
• Negotiate agreements with commercial and government payers
• Build and strengthen payer and employer partnerships
• Drive initiatives related to value-based and alternative payment models
• Monitor payer trends and identify opportunities for optimization
• Analyze reimbursement data and provide strategic insights to stakeholders
• Resolve complex claims and contract performance issues
• Support the growth of the provider network and clinical integration efforts
QUALIFICATIONS
We are seeking a professional with a strong foundation in payer contracting and healthcare strategy who is ready to take ownership of a critical function.
- Bachelor’s degree in Healthcare Administration, Business, or related field required; Master’s degree (MHA, MBA, or related) preferred
- 5+ years of experience in healthcare administration, insurance, or managed care
- Experience in managed care contracting, provider relations, or payer strategy
- Experience working within a health system, physician group, or health plan (e.g., Avera Health, Sanford Health, Wellmark Blue Cross Blue Shield, UnitedHealthcare, Medica)
- Proven experience negotiating and managing payer contracts
- Familiarity with value-based care models and reimbursement structures
Strong analytical, communication, and relationship management skills
BENEFITS AND PERKS
- Health (BCBS), dental, and vision insurance – eligible on your first day
- Substantial annual discretionary bonus
- Very competitive pay and paid time off
- Generous 401(k) employer match
- Free daily lunches
- Professional license reimbursement
- Educational assistance and professional growth opportunities
- And more
Sioux Falls Specialty Hospital is proud to be physician-owned and operated. |
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