Senior Director – Managed Care

Surgery Partners, Inc

Lead contract negotiations and manage payer agreements for hospitals and ASCs in the healthcare sector. Collaborate with leadership to execute payer contracting strategies aligned with organizational growth.

Posted 5/19/2026full-timeNashville • Tennessee • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Lead contract negotiations and actively manage payer agreements for assigned hospitals, ASCs, and physician groups.
Partner with facility, physician group, and operational leadership to develop and execute payer contracting strategies.
Establish and manage annual contract rate increase budgets and reimbursement goals for assigned facilities.
Conduct due diligence for acquisitions by reviewing payer contracts, reimbursement structures, claims payment accuracy, and market opportunities for contract improvement.
Analyze reimbursement models, contract proposals, payment methodologies, and financial scenarios to support negotiation strategy.
Collaborate with analysts, revenue cycle, and business office teams to identify reimbursement discrepancies, underpayments, overpayments, and contract compliance issues.
Monitor post-implementation contract performance to validate reimbursement outcomes and address payer compliance concerns.
Build and maintain effective relationships with payer representatives, provider relations teams, senior negotiators, and internal stakeholders across operations, finance, and physician leadership.
Support reimbursement optimization initiatives, including charge strategy recommendations and chargemaster updates.

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or related field required; Master’s degree preferred.
Minimum of 7 years of negotiation experience for hospitals, ASCs with major commercial payors with 5 years of leadership experience.
Experience working with clinically integrated networks, ACO’s, or other population health initiatives a plus, but not required.
Experience working with payors and billing office staff to resolve payment discrepancies.
Certified Managed Care Executive (CMCE) or similar certification preferred.
Extensive knowledge of managed care principles, contract negotiation, healthcare reimbursement methodologies, and regulatory requirements.
Strong analytical, communication, and leadership skills.
Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
Moderate knowledge of Excel.
Strong writing skills and ability to communicate effectively in order to negotiate key terms for payor agreements.

Benefits

Comp & perks

Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract negotiationreimbursement analysisfinancial modelingpayment methodologiesreimbursement optimizationcharge strategycontract complianceclaims payment accuracybudget managementdata analysis

Soft Skills

leadershipcommunicationanalytical skillsattention to detailrelationship buildingcollaborationproblem-solvingwriting skillsnegotiation skillsorganizational skills

Certifications

Certified Managed Care Executive (CMCE)