[Hiring] Director of Managed Care and Contracting @Performance Home Medical

Role Description

We are seeking a dynamic, strategic, and results-driven Director of Managed Care and Contracting to lead and optimize our payer strategy and provider agreements. This key leadership role is responsible for developing, negotiating, and managing managed care contracts that align with our organization’s financial goals and patient care priorities. The ideal candidate will bring leadership qualities that resonate with the collaborative and mission-driven culture at Performance Home Medical, a leading provider of medical supplies.

This remote position provides support across our markets in Washington, Oregon, Idaho, and Texas.

Key Responsibilities

• Contracting & Payor Relations
  • Lead the negotiation, execution, and management of managed care contracts with commercial, Medicare Advantage, Medicaid, and other third-party payors.
  • Develop and maintain strong, trust-based relationships with payor representatives to ensure favorable contract terms and continuity of care.
  • Serve as the primary point of contact for payor escalations, audits, and contract renewals.
  • Monitor contract performance, reimbursement trends, and payor policy changes to proactively address risks and opportunities.
• Market Continuity & Patient Access
  • Champion patient continuity of care initiatives during transitions, acquisitions, or market changes, ensuring minimal disruption to patients and referring providers.
  • Collaborate cross-functionally with clinical, operations, and finance teams to align contracting strategies with patient care goals.
  • Identify and develop new payor relationships to expand network participation and market access.
• Analytics & Strategy
  • Analyze reimbursement data, utilization trends, and payor performance metrics to inform negotiation strategies and organizational decision-making.
  • Prepare and present contract proposals, financial models, and managed care reports to senior leadership.
  • Stay current on regulatory changes, payor reimbursement methodologies, and industry best practices in managed care.
• Leadership & Team Development
  • Provide guidance and oversight to managed care staff, delegating responsibilities appropriately and fostering a culture of accountability and continuous improvement.
  • Mentor team members and support their professional development and growth.
  • Build and maintain cross-departmental relationships to ensure organizational alignment on managed care objectives.

Qualifications

• Bachelor’s degree in healthcare administration, business, or a related field required; advanced degree preferred.
• 7+ years of progressive experience in managed care contracting and payor relationship management.
• Prior experience in respiratory therapy, home medical equipment (HME), or related healthcare services strongly preferred.
• Demonstrated success negotiating complex managed care agreements with commercial and government payors.

Requirements

• Deep understanding of payor reimbursement methodologies, fee schedule structures, and managed care regulatory frameworks.
• Exceptional negotiation skills with the ability to achieve favorable outcomes while preserving strong payor relationships.
• Strong analytical abilities; proficient in interpreting data and translating insights into actionable strategy.
• Excellent written and verbal communication skills; able to present complex information clearly to diverse audiences.
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, SharePoint).
• Highly organized with the ability to manage multiple priorities and competing deadlines.

Benefits

• Travel up to 50% within assigned region/territory as needed.
• Valid state driver’s license in state of residence; must meet Motor Vehicle policy requirements.
• Reliable transportation required.