Director Managed Care

Job description

The Director of Managed Care Contracting is a key leadership role responsible for negotiating and managing payor agreements for Akumin and its affiliated entities. Reporting to the VP of Managed Care, this individual oversees all aspects of managed care, including contract negotiations, implementation, provider enrollment, and ongoing management of agreements with commercial, Medicare, Medicaid, and other third-party payors. This role is critical to driving revenue growth, optimizing reimbursement, and expanding network participation across existing and new markets. Specific duties include, but are not limited to: Develop financial models and implement reimbursement strategies, including value-based and alternative payment models. Identify and execute opportunities to expand in-network participation and improve market positioning. Lead negotiations with local and national commercial, Medicare Advantage, Medicaid, and other third-party payors Oversee the full lifecycle of managed care contracts, including implementation, monitoring, and optimization. Review, analyze, and negotiate contract language, reimbursement methodologies, and key terms. Analyze data and trends to identify risk...