SolutionHealth
Southern NH Health - Executive Director Managed Care Contractor - Full Time
SolutionHealth, Nashua, New Hampshire, us, 03062
Southern NH Health - Executive Director Managed Care Contractor - Full Time Join to apply for the
Southern NH Health - Executive Director Managed Care Contractor - Full Time
role at
SolutionHealth Southern NH Health - Executive Director Managed Care Contractor - Full Time 2 weeks ago Be among the first 25 applicants Join to apply for the
Southern NH Health - Executive Director Managed Care Contractor - Full Time
role at
SolutionHealth Get AI-powered advice on this job and more exclusive features. Who We Are
Check you match the skill requirements for this role, as well as associated experience, then apply with your CV below.
Southern New Hampshire Health is a dynamic healthcare organization committed to delivering high-quality, patient-centered care. We foster a culture of collaboration, innovation, and excellence in all aspects of our work. Who We Are
Southern New Hampshire Health is a dynamic healthcare organization committed to delivering high-quality, patient-centered care. We foster a culture of collaboration, innovation, and excellence in all aspects of our work.
About The Job
The
Executive Director, Managed Care Contractor
provides strategic and operational leadership for all aspects of managed care contracting across SNHH. Reporting directly to the Chief Financial Officer / Sr. VP Finance, this role oversees fee-for-service and risk-based contracts, ensures compliance with legislation, and maximizes organizational performance through effective contract management and payer relations.
What You’ll Do
Lead negotiation and renewal of managed care contracts with commercial payers and partners Maintain strong payer relationships and serve as the internal liaison for payer strategy Direct and participate in value-based contracting and ACO initiatives Oversee financial modeling to support strategic priorities Review contract language with legal counsel and ensure compliance with regulatory changes Monitor market trends, reimbursement legislation, and payer-driven initiatives Serve as point of contact for contractual and reimbursement matters Collaborate with Finance and Medical Management to resolve claims issues Contribute to system-wide contracting strategies aligned with organizational goals
Who You Are / Requirements
Bachelor’s degree required; Master’s preferred 5–7 years of progressive leadership in managed care contracting Experience with managed care contract methodologies and Medicare reimbursement Skilled in negotiation, communication, and problem-solving Strong analytical abilities and a thorough understanding of healthcare reimbursement models Proven ability to build relationships across departments and with external partners
Why You’ll Love Us
Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term, long-term disability, life & pet insurance Tuition reimbursement & Nursing Student Loan Paydown Program 403(b) Retirement savings plans Continuous earned time accrual
& So much more!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
#MRPSeniority level
Seniority levelNot Applicable Employment type
Employment typeFull-time Job function
Job functionHealth Care Provider IndustriesHospitals and Health Care Referrals increase your chances of interviewing at SolutionHealth by 2x Sign in to set job alerts for “Director of Managed Care” roles. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Southern NH Health - Executive Director Managed Care Contractor - Full Time
role at
SolutionHealth Southern NH Health - Executive Director Managed Care Contractor - Full Time 2 weeks ago Be among the first 25 applicants Join to apply for the
Southern NH Health - Executive Director Managed Care Contractor - Full Time
role at
SolutionHealth Get AI-powered advice on this job and more exclusive features. Who We Are
Check you match the skill requirements for this role, as well as associated experience, then apply with your CV below.
Southern New Hampshire Health is a dynamic healthcare organization committed to delivering high-quality, patient-centered care. We foster a culture of collaboration, innovation, and excellence in all aspects of our work. Who We Are
Southern New Hampshire Health is a dynamic healthcare organization committed to delivering high-quality, patient-centered care. We foster a culture of collaboration, innovation, and excellence in all aspects of our work.
About The Job
The
Executive Director, Managed Care Contractor
provides strategic and operational leadership for all aspects of managed care contracting across SNHH. Reporting directly to the Chief Financial Officer / Sr. VP Finance, this role oversees fee-for-service and risk-based contracts, ensures compliance with legislation, and maximizes organizational performance through effective contract management and payer relations.
What You’ll Do
Lead negotiation and renewal of managed care contracts with commercial payers and partners Maintain strong payer relationships and serve as the internal liaison for payer strategy Direct and participate in value-based contracting and ACO initiatives Oversee financial modeling to support strategic priorities Review contract language with legal counsel and ensure compliance with regulatory changes Monitor market trends, reimbursement legislation, and payer-driven initiatives Serve as point of contact for contractual and reimbursement matters Collaborate with Finance and Medical Management to resolve claims issues Contribute to system-wide contracting strategies aligned with organizational goals
Who You Are / Requirements
Bachelor’s degree required; Master’s preferred 5–7 years of progressive leadership in managed care contracting Experience with managed care contract methodologies and Medicare reimbursement Skilled in negotiation, communication, and problem-solving Strong analytical abilities and a thorough understanding of healthcare reimbursement models Proven ability to build relationships across departments and with external partners
Why You’ll Love Us
Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term, long-term disability, life & pet insurance Tuition reimbursement & Nursing Student Loan Paydown Program 403(b) Retirement savings plans Continuous earned time accrual
& So much more!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
#MRPSeniority level
Seniority levelNot Applicable Employment type
Employment typeFull-time Job function
Job functionHealth Care Provider IndustriesHospitals and Health Care Referrals increase your chances of interviewing at SolutionHealth by 2x Sign in to set job alerts for “Director of Managed Care” roles. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr