Director - Payor Contracting Analytics

Director Of Payor Contracting Analytics

Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

The Director of Payor Contracting Analytics serves as the health system's senior leader for payor contract modeling, financial evaluation, and performance intelligence. The role provides end to end analytical leadership across the payor contract lifecycle - from pre negotiation scenario development through post implementation performance monitoring - ensuring decisions are informed by rigorous analytics, forward looking forecasts, and objective insight across commercial, Medicare Advantage, and Medicaid arrangements. Operating as a peer Director within the Payor Contracting leadership structure, this role enables executive and contracting leaders with decision grade intelligence that quantifies financial impact, surfaces risk and opportunity, and supports sustainable margin performance at system scale.

Essential Functions

• The Director of Payor Contracting Analytics is accountable for the following core areas of work. Duties are organized to reflect how this role operates in practice within a large, complex health system. Payor Contract Analytics Strategy: Establish and lead the system wide analytical strategy supporting payor contracting activities. Align analytical priorities with contracting timelines, financial planning cycles, and executive decision needs. Serve as the primary authority on analytical rigor, methodology selection, and analytical framing for payor contract evaluation. Contract Modeling & Financial Forecasting: Direct the development, maintenance, and validation of reimbursement models across fee for service, DRG, case rate, per diem, capitation, and value based payment arrangements. Build forward looking financial forecasts that quantify expected revenue, margin, and risk exposure under varying contract scenarios. Support negotiation preparation through scenario modeling, sensitivity analysis, and downside risk assessment. Performance Monitoring & Optimization: Lead post implementation monitoring of payor contract performance. Analyze variance between expected and actual performance and identify drivers of under or over performance. Surface actionable insights to support corrective actions, renegotiation strategy, or operational adjustments. Data Analysis & Insight Generation: Oversee analysis of claims, encounter, reimbursement, and financial data related to managed care contracts. Identify trends, patterns, and emerging risks or opportunities across commercial, Medicare Advantage, and Medicaid payors. Translate complex data into concise, decision ready insights for executive and governance audiences. Standards, Methodology & Analytical Governance: Establish and maintain standard modeling assumptions, documentation practices, and analytical quality controls. Ensure consistency, transparency, and auditability of all contract analytics. Continuously evaluate and improve analytical approaches as reimbursement models and payer behaviors evolve. Executive & Cross Functional Partnership: Partner closely with Payor Contracting leadership, Finance, Revenue Cycle, Population Health, and Enterprise Analytics. Support executive discussions, governance reviews, and negotiation planning forums with clear, well-structured analysis. Act as a trusted analytical advisor to senior leaders on managed care financial performance and risk. Analytics Capability Development: Design and steward the future state payor contracting analytics operating model. Assess tools, reporting platforms, and data pipelines required to support scale and complexity. Evaluate and incorporate advanced analytics and AI enabled capabilities to improve efficiency, insight generation, and analytical reach while maintaining governance and accountability.

Education

• Bachelors Finance, Health Administration, Economics, Analytics, Statistics, or a related field Required
• Masters MBA, MHA, MPH, MS, or related discipline Preferred

Experience

• 5 years, or more years of direct experience supporting or leading payor contracting analytics and negotiation preparation Required
• 10 years, or more years of progressive experience in healthcare analytics, managed care, finance, or revenue related functions Required
• Other, Prior experience within a large health system, multi hospital provider organization, or managed care environment strongly Preferred

License And Certifications