Managed Care Director (Oncology)

Location: Hybrid role for candidates local to Pennsylvania and Delaware, with travel between locations and approximately 30% domestic travel. On-site attendance is required for onboarding, payer meetings, practice leadership engagement, and other business needs.

Company

hirify.global supports oncology practices through managed care, reimbursement, and practice operations services.

What you will do

• Lead managed care contracting and negotiations with commercial payers, Medicare, Medicaid, employers, provider networks, and health systems.
• Develop payer, reimbursement, and value-based care strategies aligned with practice growth.
• Advise practice and organizational leadership on reimbursement trends, revenue optimization, and market opportunities.
• Build relationships with payer, provider, and other healthcare stakeholders.
• Develop and implement alternative payment models, including shared savings and risk-based contracts.
• Analyze contract effectiveness and collaborate with operations, finance, pharmacy, revenue cycle, and business development teams.

Requirements

• Bachelor's degree required; a master's degree in business, finance, healthcare administration, or a related field is preferred.
• 10+ years of experience in managed care, payer relations, value-based care, healthcare administration, oncology, or multispecialty practice operations.
• Experience negotiating payer contracts and developing strategic payer relationships.
• Experience with value-based care models, reimbursement methodologies, and healthcare financial analysis.
• Strong understanding of managed care, healthcare reimbursement, and provider operations.
• Strong leadership, communication, relationship-building, presentation, and stakeholder-influence skills.

Nice to have

• Experience in oncology or specialty healthcare environments.
• Proficiency with Microsoft Office Suite and Salesforce.
• Experience with public speaking, presentations, and remote facilitation.

Culture & Benefits

• Hybrid work environment supporting multiple practices and service areas.
• Approximately 30% domestic travel is expected.
• Work involves cross-functional collaboration across McKesson and US Oncology teams.