Regional Director of Managed Care - West Coast
What You’ll Do
• Lead the evaluation, negotiation, and execution of managed care contracts across your region
• Build and strengthen relationships with health plans and managed care organizations
• Own the full contract lifecycle from strategy and negotiation through implementation and performance
• Analyze reimbursement structures across Medicare, Medicaid, and commercial payers
• Partner cross-functionally with leadership, billing, operations, and clinical teams
• Identify trends, risks, and opportunities to improve contract performance and revenue outcomes
• Support credentialing, payer communication, and issue resolution tied to contracting and reimbursement
• Ensure alignment between contract terms and operational execution
What Success Looks Like
• Strong payer relationships that drive competitive reimbursement
• Contracts that are both financially and operationally optimized
• Clear communication and alignment across internal teams
• Improved revenue performance tied to strategic contracting decisions
• A proactive approach to market changes, regulations, and payer dynamics
What You Bring
• Experience negotiating and managing managed care contracts in healthcare
• Strong understanding of reimbursement structures (Medicare, Medicaid, commercial)
• Ability to analyze contract performance, denials, and appeals trends
• A strategic mindset with strong attention to detail
• Confidence working cross-functionally and communicating with leadership
• Ability to adapt in a fast-paced, evolving environment
Additional Details
• Remote (West Coast hours preferred)
• Travel: ~25–30%
Your success is our success.
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Because we understand. You have a vision, a dream of where you want to take your business. Our aim is to bring you the people who can help get you there.
