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Temple Health – Temple University Health System · 5 hours ago

Director Payer Relations & Contract

Philadelphia, PA

Full-time, Contract

Onsite

Director/Executive

10+ years exp

Temple Health – Temple University Health System is seeking a Director to oversee payer contracting and support payer strategy functions. The Director will assess and refine payer contracts, develop new products, and maintain agreements to optimize revenue within the Health System.

Health CareHealth DiagnosticsHospitalUniversities

H1B Sponsor Likely

Responsibilities

Oversee the payer contracting and support the payer strategy functions for the Health System

Continuously assess and refine the Health System's payer contracts which will encompass all third party plans including Commercial, Medical Assistance, Medicare Advantage, Workers Compensation, International care via Philadelphia International Medicine, and any other payer arrangement

Include any CMS or Commonwealth based programs beyond the traditional FFS programs such as those originating in CMMI

Act as the primary contact with health insurers for the development of new products, promotion of Health System services, contracting issues and pricing

Develop and maintain third party payer agreements with health system member institutions and affiliates to optimize revenue

Coordinate the contracting aspect for the Temple Care Clinically Integrated Network (TempleCare CIN) network management functions and payer contracting

Qualification

Payer contractingHealthcare provider experienceManaged care contractingPerformance driven contractsACO/CIN agreements

Required

Master's Degree Required or Combination of relevant education and experience may be considered in lieu of degree Required

10+ years experience in a related position including 5 years of performance driven contracts and ACO/CIN agreements Required

7 Years Experience In a Healthcare Provider Environment Required

General Experience in managed care contracting Required

Company

Temple Health – Temple University Health System

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At Temple Health, patients have access to some of the most advanced research and clinical care — tools we are using to help achieve outcomes once thought to be impossible.

Founded in 1995

Philadelphia, Pennsylvania, USA

5001-10000 employees

https://www.templehealth.org/

H1B Sponsorship

Temple Health – Temple University Health System 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

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Trends of Total Sponsorships

2025 (6)

2024 (4)

2023 (2)

2022 (1)

2021 (2)

2020 (1)