Director Managed Care
Akumin Inc., Florida, NY, United States
Director Managed Care page is loaded## Director Managed Careremote type:
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Florida Remote Workertime type:
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2026-7192The **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 risks and opportunities related to reimbursement and payor performance.* Lead cross-functional collaboration across Revenue Cycle, Finance, Legal, Compliance, and Operations. Build and maintain strong relationships with payors and support the development of strategic partnerships and programs to drive growth and patient access.* Develop and standardize enrollment processes, workflows, and performance metrics. Ensure timely and accurate submission, tracking, and approval of provider and facility enrollments with commercial and government payors. Monitor enrollment status and proactively address delays, revalidations, and terminations to minimize revenue disruption. Partner with credentialing and revenue cycle teams to resolve enrollment-related issues impacting billing and reimbursement* Stay informed on regulatory changes, reimbursement trends, and industry developments.**Position Requirements:*** Bachelor's Degree or equivalent experience required; Master's Degree preferred.* 7–10+ years of progressive managed care contracting and enrollment experience* Demonstrated success in payor negotiations and driving financial performance* Strong understanding of Medicare, Medicaid, commercial contracting, and enrollment processes* Excellent negotiation, communication, and relationship management abilities* Proven ability to lead cross-functional initiatives and influence stakeholders* Core Competencies* Strategic Thinking with a Results-Oriented Mindset* Financial Acumen and Analytical Skills* Negotiation and Influence* Relationship Management* Leadership and Cross-Functional Collaboration**Preferred Requirements:*** Radiology, imaging, radiation oncology or outpatient healthcare experience* Value-based care and alternative payment model experience* Multi-state or national contracting, credentialing, and enrollment experience**Physical Requirements:**Standard office environment.More than 50% of the time:* Sit, stand, and walk.* Repetitive movement of hands, arms and legs.* See, speak and hear to be able to communicate with patients.Less than 50% of the time:* Stoop, kneel or crawl.* Climb and balance.* Carry and lift 10-20 poundsAkumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.Akumin opens the doors to an exceptional career in outpatient care. Recognized as a trusted national partner for hospitals, health systems, and physician groups, we provide comprehensive radiology and oncology services with a steadfast focus on patient care. Join our team to gain access to cutting-edge technologies, thrive in a supportive work environment driven by trust and collaboration, and embark on a rewarding journey of personal and professional growth. Contribute to shaping the future of healthcare by joining Akumin.### Connect With Us!Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. #J-18808-Ljbffr
Remotelocations:
Florida Remote Workertime type:
Full timeposted on:
Posted Todayjob requisition id:
2026-7192The **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 risks and opportunities related to reimbursement and payor performance.* Lead cross-functional collaboration across Revenue Cycle, Finance, Legal, Compliance, and Operations. Build and maintain strong relationships with payors and support the development of strategic partnerships and programs to drive growth and patient access.* Develop and standardize enrollment processes, workflows, and performance metrics. Ensure timely and accurate submission, tracking, and approval of provider and facility enrollments with commercial and government payors. Monitor enrollment status and proactively address delays, revalidations, and terminations to minimize revenue disruption. Partner with credentialing and revenue cycle teams to resolve enrollment-related issues impacting billing and reimbursement* Stay informed on regulatory changes, reimbursement trends, and industry developments.**Position Requirements:*** Bachelor's Degree or equivalent experience required; Master's Degree preferred.* 7–10+ years of progressive managed care contracting and enrollment experience* Demonstrated success in payor negotiations and driving financial performance* Strong understanding of Medicare, Medicaid, commercial contracting, and enrollment processes* Excellent negotiation, communication, and relationship management abilities* Proven ability to lead cross-functional initiatives and influence stakeholders* Core Competencies* Strategic Thinking with a Results-Oriented Mindset* Financial Acumen and Analytical Skills* Negotiation and Influence* Relationship Management* Leadership and Cross-Functional Collaboration**Preferred Requirements:*** Radiology, imaging, radiation oncology or outpatient healthcare experience* Value-based care and alternative payment model experience* Multi-state or national contracting, credentialing, and enrollment experience**Physical Requirements:**Standard office environment.More than 50% of the time:* Sit, stand, and walk.* Repetitive movement of hands, arms and legs.* See, speak and hear to be able to communicate with patients.Less than 50% of the time:* Stoop, kneel or crawl.* Climb and balance.* Carry and lift 10-20 poundsAkumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.Akumin opens the doors to an exceptional career in outpatient care. Recognized as a trusted national partner for hospitals, health systems, and physician groups, we provide comprehensive radiology and oncology services with a steadfast focus on patient care. Join our team to gain access to cutting-edge technologies, thrive in a supportive work environment driven by trust and collaboration, and embark on a rewarding journey of personal and professional growth. Contribute to shaping the future of healthcare by joining Akumin.### Connect With Us!Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. #J-18808-Ljbffr