Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.

The Corporate Director, Payer Relations leads the design, negotiation, and administration of all payer (commercial, Medicare Advantage, Medicaid, value based) agreements across a multi-hospital system. Partnering with finance, legal, revenue cycle, clinical operations, and executive leadership, this role develops strategic strategies, financial models, and performance dashboards to maximize reimbursement, support value based care, and ensure operational compliance and profitability.

• Lead development and execution of payer contracting strategy and annual negotiation cycle (including traditional and risk-based contracts)
• Build financial models and pro forma analyses to support contracting decisions and ROI assessments
• Negotiate contracts and amendments including fee-for-service, shared-risk, capitation structures
• Collaborate with revenue cycle, operations, clinical leadership, and legal to operationalize contracts and resolve reimbursement issues
• Monitor payer performance, compliance, and payment accuracy, including joint payer operating committees
• Stay abreast of payer trends, government regulations, and reimbursement policy shifts
• Lead staff—including mentoring, coaching, and performance management—to ensure high-quality contract administration
• Support expansion into new service lines or markets by assessing

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.

Required:

• 10+ years of experience with managed care contracting, healthcare finance, payer negotiation at system / hospital / provider group level
• Bachelor's Degree in Healthcare Administration, Business, Finance, or related field

Preferred:

• 10+ years of experience with managed care contracting, healthcare finance, payer negotiation at system / hospital / provider group level
  
• Bachelor's Degree in Healthcare Administration, Business, Finance, or related field