Partner with Revenue Cycle, Managed Care, Finance, and Clinical stakeholders to identify and prioritize initiatives that improve payer yield and reduce revenue leakage.
Oversee detailed analysis of payer policies, coverage determinations, reimbursement methodologies, and payment rules to quantify financial impact.
Direct analysis and extraction of claims, remittance, and denial data from billing and analytics systems to assess payer compliance and performance.
Guide root cause analysis of payer denials and underpayments, identifying systemic issues related to policy interpretation, authorization, coding, documentation, or billing.
Lead, mentor, and develop a team of analysts, setting clear expectations, priorities, and performance standards.
Prepare and deliver clear, concise presentations to senior and executive leadership outlining revenue risks, payer trends, and strategic recommendations.

Bachelor's degree required, Master's degree preferred (MBA or MHA preferred)
Minimum of 5 years experience as a contract negotiator with a large provider or 7 years small provider or payor experience as a contract negotiator with a Bachelor's degree
Minimum of 3 years experience as a contract negotiator with a large provider or 5 years small provider or payor experience as a contract negotiator with a Master's degree.

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Associate Director – Managed Care Contracting

Key skills