Fresenius Medical Care · 8 hours ago
Sr Director Managed Care and Payor Strategy
Waltham, MA
Full-time
Hybrid
Director/Executive
$200K/yr - $270K/yr
10+ years expFresenius Medical Care is a leading healthcare company focused on providing high-quality care to patients. The Senior Director of Managed Care & Payor Strategy is responsible for driving initiatives to strengthen relationships with Managed Care Payor Organizations and optimize contractual performance, while leading a high-performing team to achieve organizational goals.
BiotechnologyHealth CareMedical Device
Responsibilities
Manages contracting and relations with managed care organizations
Develops long-term strategies and tactics for managed care contract review and analysis
Leads the initiation, negotiation, and execution of contracts
Oversees the maintenance of relationships and issues resolution with managed care organizations
Ensures all contracts are compliant with internal and governmental regulations
Supports and improves employee engagement & team culture
Supports FMCNA's mission, vision, values and philosophy
Adheres to the FMC Compliance Program, including following all regulatory and FMS policy requirements
Formulates market strategies and develop an implementation plan for a contract portfolio that involves multiple sites, geographies and products
Leads the end-to-end negotiation of national and regional payor agreements, including initial rate development, contract language negotiation, and oversight through final implementation of executed agreements
Represent Fresenius Kidney Care services to payors and other stakeholders through compelling presentations and communications
Develops direction, goals and priorities of team members
Oversee the evaluation, analysis and preparation and completion of Managed Care contract proposals for direct reports
Outlines revenue targets as team initiatives and manages collective and individual performance towards achievement of goals
Provides clear, accurate guidance to leadership team and operational partners regarding contracting targets, goals and objectives
Collaborates effectively with Operations, Clinical and Support teams to implement strategy and achieve goals
Works closely with Operations and leadership to maximize growth opportunities and strengthen payor partnerships
Assists senior management in the preparation of financial budgets and quarterly forecasts
Responsible for leading team responsible for negotiating and implementing contracts with payers that require clinical and quality outcomes measurements
Responsible for the design and implementation of third party payor compensation structures including quality outcome measures, pay for performance, risk and various other structures and metrics
Responsible for ensuring that quality and financial outcomes are reported accurately and in a timely manner
Assist with designing Quality Improvement Projects that will improve outcomes in practices that are not meeting goals
Obtain payor fee schedules and ensure contract compliance
Oversee contract performance for managed care contracts, ensuring achievement of budget and key performance indicators
Responsible for implementation and achievement of business plan, budget, and key performance indicators
Reviews contracting performance with Leadership and Operations on a quarterly basis at a minimum
Trains and supports Managed Care Directors regarding business goals and practices
Works with internal and external counsel as per Company policy and as needed to resolve issues and support FMCNA as appropriate
Ensures all FMCNA business policies, procedures and systems are implemented by the appropriate personnel, including compliance with ethical business practices
Responsible for achievement of business plan, budget and key performance indicators
Responsible for collaborating with Operations team to maximize growth opportunities through third party contractual relationships and strategic partnerships
Responsible for communicating Fresenius Kidney Care’s services through presentations to third party payers, managed care organizations, internal departments and other appropriate audiences
Maintains knowledge of Fresenius Kidney Care products, services and strategies
Maintains current knowledge regarding community healthcare market and industry issues that may impact the business
Other duties as assigned
Leads a department or a small-sized organization within a region / global division, which may include a limited number of teams led by other middle management positions
Establishes and implements mid to long-term (3-5 years) strategies that have measurable impact on the achievement of business results within the context of the overall regional / divisional business strategy
Responsible for identifying, building and managing long-term key client relationships
Leads negotiations on issues that have a high impact on the function or on business results
Qualification
Required
Bachelor's Degree in Business or Health Management or related field
10 years of extensive, direct experience in managed care contracting
5+ years direct supervisory experience
Competency with standard business computer systems
Strong written and verbal communication skills
Payor relationship building
Strategic planning
Analytical decision-making
Ability to work independently
Goal Oriented
Experience with provider and/or payor contracting
Preferred
Advanced Degree in Business or Management
Benefits
Medical, dental, and vision insurance
A 401(k) with company match
Paid time off
Parental leave
Potential for performance-based bonuses depending on company and individual performance
Company
Fresenius Medical Care
Fresenius Medical Care is a healthcare company that provides dialysis treatment for those with chronic kidney diseases.
10001+ employees
H1B Sponsorship
Fresenius Medical Care 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 (2)
2024 (5)
2023 (14)
2022 (18)
2021 (10)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
$758.43M2025-11-17Post Ipo Debt· $579.5M
2025-07-21Post Ipo Equity· $4.86M
2020-02-25Post Ipo Equity· $6.07M
Leadership Team
Helen Giza
Chief Executive Officer and Chair of the Management Board
Olaf Schermeier
Member of the Management Board - CEO Global R&D
Recent News
2025-11-19
2025-11-11
Company data provided by crunchbase