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Regional Director Managed Care

$118.1k - $196.9k

McKesson

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.McKesson is seeking a Regional Director, Managed Care Contracting, to serve as a strategic advisor to specialty provider practices across a dynamic payer and reimbursement landscape. In this role, you will help practices strengthen payer relationships, evaluate contracting opportunities, understand reimbursement and market access trends, and develop practical strategies that support financial performance, operational alignment, and patient access.This is an opportunity to bring managed care expertise, payer strategy, and consultative problem-solving to a team focused on helping specialty practices navigate complex payer requirements and reimbursement challenges. The ideal candidate is analytical, collaborative, customer-focused, and comfortable translating complex managed care concepts into clear recommendations for practice leaders and internal stakeholders.Key ResponsibilitiesAdvise specialty provider practices on managed care contracting, payer strategy, reimbursement performance, market access, and payer relationship management.Review, analyze, negotiate, and support renewal of commercial, Medicare Advantage, Medicaid managed care, and other payer agreements.Develop payer-specific strategies that support favorable reimbursement, specialty therapy access, operational sustainability, and long-term practice goals.Evaluate contract terms, fee schedules, reimbursement methodologies, prior authorization requirements, administrative provisions, and payer-related barriers that may affect practice performance.Monitor payer policy changes, reimbursement trends, network developments, market activity, and competitive dynamics; translate findings into clear recommendations.Partner with provider practices to support contract administration, reporting, payer communications, implementation planning, and ongoing management of managed care initiatives.Prepare payer strategy summaries, negotiation talking points, contract opportunity assessments, and other materials that support customer and internal decision-making.Represent managed care contracting capabilities in customer meetings, regional business reviews, payer strategy discussions, internal planning sessions, and other business forums.Minimum RequirementDegree or equivalent and typically requires 7+ years of relevant experience.EducationBachelor’s degree in finance, accounting, business, healthcare administration, or a related field; advanced degree preferred.Critical Skills5 or more years of progressive healthcare experience in managed care contracting, payer relations, provider reimbursement, healthcare finance, or specialty practice support.Experience reviewing, interpreting, negotiating, or supporting managed care contracts, including reimbursement terms, rate structures, fee schedules, administrative provisions, and renewal strategy.Strong understanding of healthcare reimbursement, payer policy, commercial and government payer dynamics, network strategy, specialty markets, and value-based care concepts.Ability to analyze payer, reimbursement, and contract performance data and translate findings into actionable recommendations.Strong written, verbal, presentation, negotiation, relationship management, and consultative skills.Ability to work independently in a remote environment, manage multiple priorities, and support customers across varied markets and payer landscapes.Proficiency with Microsoft Word, Excel, PowerPoint, Salesforce.com, Smartsheet, and other analytical or reporting tools.Experience in specialty markets such as Oncology, Rheumatology, Neurology, Ophthalmology, Gastroenterology, or other provider-administered therapy environments is highly desirable.Work Environment & TravelThis is a remote role with regular engagement across practice leadership, corporate and field teams, customers, specialty providers, payers, and cross-functional business partners. Travel may be required up to 30% to support customer meetings, payer strategy discussions, regional business reviews, market assessments, and internal collaboration.Regular engagement with practice leadership, corporate and field teams, customers, specialty providers, payers and, cross-functional business partners through phone, email, video conference, and in-person meetings as appropriate.We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.Our Base Pay Range for this position$118,100 - $196,900McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.McKesson job postings are posted on our career site: careers.mckesson.com.McKesson is an Equal Opportunity EmployerMcKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) View email address on click.appcast.io or (Canada) View email address on click.appcast.io. Resumes or CVs submitted to this email box will not be accepted.Join us at McKesson!SummaryLocation: Work at Home - Texas, USA (WTXA); USA, RemoteType: Full time

Vacancy posted 4 days ago
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