Senior Director – Payer Contracting

Cleveland Clinic

. Develop and execute payer strategies reflecting market position, financial goals, reimbursement priorities, growth objectives, and organizational risk tolerance .

Posted 10/2/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in developing and executing payer strategies, leading complex negotiations, and managing the contracting life cycle. Proven ability to influence stakeholders and build analytic frameworks to evaluate reimbursement and financial performance.

Highest-signal resume keywords

Payer Strategy DevelopmentComplex Payer NegotiationsContract AnalyticsValue-Based Payment ModelsTeam Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement MethodologiesContract Yield EvaluationRisk StructuresFinancial Exposure AnalysisPerformance Monitoring

Soft Skills

Stakeholder InfluenceCommunicationCoaching

Industry Keywords

Managed CareValue-Based CareHealth PlansContracting Life CycleRegulatory Considerations

About the role

Key responsibilities & impact

Develop and execute payer strategies reflecting market position, financial goals, reimbursement priorities, growth objectives, and organizational risk tolerance
Lead high-stakes negotiations and renegotiations with market and national health plans across fee-for-service and advanced value-based arrangements
Structure and negotiate shared-savings, downside-risk, percent-of-premium, full-risk, transplant, high-cost drug, and provider-payer product agreements
Own the contracting life cycle from strategy and modeling through negotiation, implementation, performance monitoring, renewal, and escalation
Build analytic frameworks evaluating reimbursement, contract yield, utilization, total cost of care, quality performance, attribution, risk adjustment, and financial exposure
Lead, coach, and develop contracting professionals and analysts
Influence clinical, financial, legal, operational, and executive stakeholders to resolve competing priorities and achieve enterprise-wide outcomes
Strengthen payer accountability and executive relationships while identifying opportunities for market growth and innovative partnerships
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in business, marketing, or health care related field
Ten years of managed care experience in a payer or provider organization
Five years of advanced value-based care or risk-based percent of premium management and negotiating experience in a payer or provider setting
Demonstrated success leading complex payer negotiations with significant financial, operational, and market implications
Deep knowledge of reimbursement methodologies, contract analytics, value-based payment models, risk structures, managed care policy, and relevant legal and regulatory considerations
Proven ability to lead teams and influence senior stakeholders in fluid, highly matrixed environments
Ability to communicate and exchange accurate information
Ability to perform work in a stationary position for extended periods
Ability to work with physical records or operate a computer or other office equipment
In some locations, ability to travel throughout the hospital system
In some locations, ability to move up to 25 lbs.
Follow standard precautions using personal protective equipment as required for procedures
Employment offers are followed by testing for controlled substances
Must comply with Cleveland Clinic Health System's influenza prevention program, including annual vaccination or an approved exemption

Benefits

Comp & perks

Annual influenza vaccination or approved exemption under the influenza prevention program
Drug-free work environment
Equal employment opportunity