Highlights
In this role, you'll oversee payer performance analytics, reimbursement variance reviews, denial management, contract modeling, and revenue leakage identification, while leading efforts to resolve underpayments, payment discrepancies, and other payer-related issues. You'll serve as a key partner to Finance, Managed Care, Legal, Compliance, and executive leadership, translating complex payer, contractual, financial, and operational data into actionable insights and strategies.
Numbers & Facts
| Location | Fresno, California |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1985 |
| Website | http://www.chs.net/ |
Description
Overview:
Opportunities for you!
- Recognized by Newsweek as one of America's Greatest Workplaces for 2026
- Eligible for annual incentive program, progressive sign-on incentive and comprehensive relocation package
- Community University leadership training courses
- Tuition reimbursement, education programs and scholarships
- Vacation time accrues from Day 1 at the maximum allowable accrual rate
- Free money toward retirement with a 403(b) and matching contributions
- Great on-demand dining options, plus free parking and EV charging ordering
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
Responsibilities:As the Director of Payer Performance, you will lead the strategy, analysis, and optimization of payer reimbursement and contract performance to drive revenue integrity and growth across the health system. You'll serve as a key partner to Finance, Managed Care, Legal, Compliance, and executive leadership, translating complex payer, contractual, financial, and operational data into actionable insights and strategies. In this role, you'll oversee payer performance analytics, reimbursement variance reviews, denial management, contract modeling, and revenue leakage identification, while leading efforts to resolve underpayments, payment discrepancies, and other payer-related issues. Additionally, you will support contract negotiations and renewal strategies, ensure compliance with regulatory requirements, and develop a high-performing team focused on enhancing payer accountability and improving overall financial performance.
Qualifications:
- Bachelor’s Degree in healthcare administration, Business Administration, Finance, Accounting, or related field required
- Five (5) years of healthcare revenue cycle or payer-related experience required
- Three (3) or more years of management or leadership experience in a healthcare or payer environment required
- Experience developing performance dashboards and executive reporting required
- Experience with revenue cycle analytics, business intelligence, or data visualization platforms required
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.
About Company
Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).
As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.