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Clinical Management Consultants

Director Managed Care Contracting

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Job Description

Director Managed Care Contracting Clinical Management Consultants - 4.4 Reno, NV Job Details Full-time $176,440 - $225,880 a year 1 day ago Qualifications Hospital payer negotiations Strategic management Contract interpretation Contract performance monitoring Contract management experience in healthcare Key Performance Indicators Mentoring Financial strategy recommendations Data analytics Relationship management Contracts Leading team collaboration initiatives Healthcare financial management Contract management support tasks Collaboration with legal team Implementation of strategic initiatives Senior level Healthcare reimbursement methods Cross-functional team management Process management Cross-functional communication Full Job Description Turn sophisticated payer strategy into stronger patient access, sustainable clinical services, and better support for frontline teams as the Director Managed Care Contracting —a high-impact leadership opportunity combining meaningful healthcare work, professional growth, supportive executive partnership, modern analytics, and the exceptional quality of life found in northern Nevada. The Director Hospital Payer Relations will join an independent, not-for-profit regional hospital where mission, financial stewardship, and patient-centered decision-making remain closely connected. This medical center's high patient satisfaction scores reflect a culture that values the experience of patients and families, while its scenic 80-acre healing campus offers an inspiring setting for healthcare leadership. For professionals exploring hospital careers, healthcare management jobs, or executive-level healthcare opportunities, this role provides the chance to help preserve access to essential services and strengthen the organization's long-term ability to support nurses, physicians, advanced practice providers, allied health professionals, therapists, pharmacists, technicians, and other clinical teams. Within Financial Services, the Director Managed Care Contracting will shape a disciplined, collaborative approach to payer relationships, contract performance, reimbursement strategy, and managed care operations. The position offers visibility across clinical service lines and the opportunity to translate financial and utilization data into agreements that support quality care, responsible growth, and operational stability. By partnering with revenue cycle, finance, case management, physician leadership, compliance, and clinical operations, the Director will help ensure that contract terms reflect how care is delivered across the hospital while advancing analytics-enabled workflows that support—not replace—experienced professional judgment. The Director Hospital Payer Relations will work closely with organizational and executive stakeholders to lead payer negotiations, evaluate reimbursement methodologies, monitor contract performance, assess financial impact, support renewal strategy, and identify opportunities to improve payment integrity. Day-to-day priorities may include interpreting complex agreement language, coordinating contract implementation, developing negotiation positions, tracking key performance indicators, addressing payer issues, and aligning managed care strategy with broader organizational goals. Although a specific reporting relationship is not stated, the Director Managed Care Contracting can expect a role requiring executive-level communication, sound judgment, regulatory awareness, financial acumen, and productive collaboration with legal, finance, revenue cycle, medical staff, nursing leadership, and interdisciplinary operational partners. For an experienced Director Managed Care Contracting, this position is a meaningful next step into broader strategic influence rather than simply another contracting job. The successful leader can deepen expertise in hospital reimbursement, payer strategy, healthcare analytics, value-based arrangements, negotiation, and enterprise decision support while gaining exposure to diverse clinical and operational priorities. Opportunities to lead cross-functional initiatives, mentor team members, improve contracting processes, present recommendations to senior stakeholders, and strengthen organizational readiness for evolving payment models can create a clear platform for continued advancement in healthcare finance and hospital leadership. The Director Hospital Payer Relations will discover an exceptional quality of life in eastern Nevada, where the Ruby Mountains, Lamoille Canyon, Great Basin National Park, and expansive public lands create remarkable access to hiking, skiing, mountain biking, fishing, camping, and internationally recognized dark skies. Welcoming communities, uncrowded trails, short commutes, and a relaxed pace offer a refreshing alternative to larger metropolitan areas, while regional events, local restaurants, and easy weekend escapes provide plenty to explore. For a healthcare leader seeking meaningful work, authentic community connections, and more room to live adventurously, eastern Nevada offers a compelling place to build both a career and a life. The Director Managed Care Contracting will receive competitive compensation and a comprehensive benefits package, with specific total-rewards details provided during the recruitment process. Professionals searching for northern Nevada hospital jobs, healthcare leadership jobs, managed care contracting careers, payer relations positions, or medical center jobs are encouraged to explore how this opportunity could elevate both professional impact and quality of life. Connect with a Clinical Management Consultants recruiter to discover how the next chapter in managed care leadership could begin on an extraordinary healing campus in northern Nevada.

Benefits

  • Dental Insurance