Managed Care Director

Overview

The Managed Care Director is responsible for developing and executing payer contracting, reimbursement, and value-based care strategies for assigned practices within The US Oncology Network. This role leads contract negotiations with commercial payers, Medicare, Medicaid, concierge benefit managers, employers, provider networks, and health systems to maximize revenue, strengthen market position, and support practice growth.Success in this role requires building strong relationships with payer partners, practice leadership, and key stakeholders while supporting managed care strategies across multiple practices and service areas.

The Director serves as a strategic advisor to practice leadership, identifying opportunities to enhance reimbursement, referral relationships, and participation in innovative payment models, including value-based and risk-sharing arrangements. The role collaborates with cross-functional teams across McKesson and US Oncology to develop and implement payer strategies, alternative payment models, and performance initiatives that improve financial and quality outcomes. This is a hybrid positon- the ideal candidate will be able to travel between Pennsylvania Locations as well as Deleware Locations, only candidates who are local to these areas will be considered.

• Lead managed care contracting and negotiation strategies with payers, providers,

Minimum Qualifications

Education

• Bachelor's degree required.
• Master's degree in Business, Finance, Healthcare Administration, or related field preferred.

Experience

• 10+ years of experience in managed care, payer relations, value-based care, healthcare

administration, oncology, or multispecialty practice operations.

• Experience negotiating payer contracts and developing strategic payer relationships.
• Experience with value-based care models, reimbursement methodologies, and healthcare

financial analysis.

Preferred Skills

• Strong understanding of managed care, healthcare reimbursement, and provider operations.
• Experience in oncology or specialty healthcare environments.
• Executive presence with strong leadership, communication, and relationship-building skills.
• Ability to influence stakeholders and collaborate across diverse teams.
• Proficiency in public speaking, presentations, and remote facilitation.
• Knowledge of Microsoft Office Suite and Salesforce.

Working Conditions

Hrybrid position with approximately 30% domestic travel- On-site attendance is required during onboarding payer meetings, practice leadership engagement, and other business needs payer meetings, practice leadership engagement, onboarding, and other business needs. The position supports multiple practices across different service areas and requires the ability to effectively partner with diverse teams while balancing the unique needs of each division.

⚠️ Important Notice

Beware of fraudulent job postings. Alliance Cancer Specialists and The US Oncology Network will never request financial information during the hiring process. Verify legitimate job postings at:

🔗 https://careers.usoncology.com/main/