Hospital for Special Surgery · 2 months ago
Director, Payer Strategy & Contracting
New York, NY
Full-time
Onsite
Director/Executive
$112K/yr - $171K/yr
7+ years expHospital for Special Surgery is a top-ranked institution for orthopedics and rheumatology, seeking a Director of Payer Strategy and Contracting. This role is responsible for negotiating and overseeing payer contracts, collaborating with various teams to ensure financial goals are met and operational issues are resolved.
Health CareMedical
Responsibilities
Meets with organizational leadership and stakeholders to ascertain and develop strategic payer contracting goals
Negotiates contracts ensuring financial and strategic goals are translated into contractual language accordingly
Analyzes payer contract proposals in conjunction with the analytics team to ensure contracts meet financial goals
Works closely with the legal team to review and edit contracts as appropriate
Ensures internal stakeholders are aware of contract terms, reimbursement rates, and payer policies and that contract terms are appropriately communicated/translated into front and back-end processes
Works closely with the revenue cycle teams to ensure contracts are loaded appropriately into billing and decision support systems
Works closely with the contract operations team, UM/clinical denials team, and revenue cycle teams to identify trends and opportunities in outstanding accounts receivable
Escalates issues as necessary to payer contacts for resolution. In conjunction with contract operations, recommends escalation through senior management as appropriate
Identifies trends/patterned issues to aid in contract renegotiations
Assesses contract administrative terms and advises leadership accordingly on measures of contract performance
Maintains up to date knowledge on the healthcare market, specifically in regard to payer policies and reimbursement trends
Possesses strong leadership skills and demonstrates capability to inspire staff to pursue excellence in goals and productivity; capable of coaching and improving staff in need of professional development. Places high priority on overall team performance
Additional responsibilities as required to accomplish departmental goals
Qualification
Required
Experience (7+ years) in payer or provider contracting and/or provider network oversight
Experience managing and leading a professional team
Experience dealing with payers, patient financial services professionals, providers, and their billing staff
Possesses key payer contacts and knowledge of payer contracting
Is detail oriented
Knowledge of the healthcare industry and payer reimbursement methodologies (both hospital and physician)
Ability to work independently and collaboratively to solve complex problems
The ability to influence and motivate others, as well as work collaboratively within a multi-stakeholder environment is required
Excellent verbal and written communication skills
Excellent organizational and multi-tasking skills
Is professional when dealing with stakeholders
Uses good judgement and takes a thoughtful approach to resolving and communicating issues
Bachelor's degree in health or business administration, economics or related subject is required
Preferred
Master's degree in health or business administration, economics or related subject
Benefits
Additional benefits consistent with the role
Company
Hospital for Special Surgery
Hospital for special surgery is the top ranked new york hospital for orthopedics and rheumatology.
5001-10000 employees
H1B Sponsorship
Hospital for Special Surgery has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (20)
2023 (27)
2022 (32)
2021 (18)
2020 (27)
Funding
Current Stage
Late StageTotal Funding
$36.6MKey Investors
Stavros Niarchos Foundation (SNF)Flare Capital Partners
2023-06-12Grant· $10M
2022-10-25Series A· $21M
2018-07-16Grant· $5.6M
Leadership Team
Tara M. McCoy
Chief Executive Officer, HSS Florida
Bill Donato
Senior Advisor Supply Chain
Recent News
Crain's New York Business
2026-01-13
HospitalManagement.net
2026-01-13
Company data provided by crunchbase