Director, Managed Care

AdaptHealth

. Lead and advance strategic partnerships with Managed Care Organizations, post-acute providers, and health systems .

Posted 10/23/2026full-timeRemote • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in contract negotiation, reimbursement strategies, and managing strategic partnerships within the healthcare sector. Proven ability to lead teams, manage complex projects, and ensure compliance with industry regulations.

Highest-signal resume keywords

Contract NegotiationReimbursement StrategiesLeadership SkillsHealthcare ComplianceProject Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ContractingCredentialingNetwork ManagementClaims PricingMedical Contracting MethodologiesData Flow UnderstandingPerformance EvaluationMarket ExpansionRisk-Sharing MechanismsAlternative Payment Mechanisms

Soft Skills

Analytical SkillsProblem-Solving SkillsAttention to DetailVerbal CommunicationWritten Communication

Tools & Technologies

Microsoft OfficeExcel

Industry Keywords

Managed Care OrganizationsPost-Acute ProvidersHome Medical EquipmentHIPAA ComplianceAudit and Compliance

About the role

Key responsibilities & impact

Lead and advance strategic partnerships with Managed Care Organizations, post-acute providers, and health systems
Develop new business and revenue through clinical integration and market expansion
Negotiate alternative payment mechanisms, risk-sharing, and reimbursement tactics
Provide guidance to Operations, Sales, Billing, and Finance teams
Ensure timely and accurate setup and maintenance of contracts with payors, facilities, subcontractors, and other entities
Lead and assist with RFPs
Resolve complex issues with minimal management oversight
Serve as subject matter expert on contract and reimbursement issues affecting the home medical equipment and healthcare industries
Manage a client portfolio and deliver business opportunities and projects
Work with Audit and Compliance to maintain good standing with entities, regulations, and patients
Evaluate and oversee TPA integration options
Maintain knowledge of current HME products and services
Protect patient confidentiality under HIPAA and complete required compliance training
Select, hire, onboard, train, coach, counsel, and evaluate staff
Establish department goals aligned with organizational strategy
Achieve performance and retention goals and complete performance evaluations

Requirements

What you’ll need

Bachelor’s degree in relevant discipline from an accredited college required
Seven (7) years of relevant work experience required in contracting, credentialing, or network management
Five (5) years of management experience in related position is preferred
Valid and unrestricted driver’s license in the state of residence
Proven leadership skills
Ability to handle complex contract negotiations
Proficient knowledge of medical contracting methodologies and claims pricing/reimbursement strategies
Independent thinker and decision maker
Strong analytical and problem-solving skills with attention to detail
Excellent verbal and written communication
Proficient computer skills and knowledge of Microsoft Office, specifically Excel
Ability to prioritize and manage multiple projects
Technical aptitude to understand data flow through systems and system interaction