to top

Director of Managed Care Contracting

Sioux Falls Specialty Hospital

Sioux Falls, SD US

Posted/Updated: Today

Job Description

We are seeking a strategic, relationship-driven leader to advance managed care contracting for Independent Healthcare Associates (IHA). This high-impact role sits at the intersection of payer strategy, contract negotiation, and provider partnerships, offering the opportunity to lead contracting initiatives across a growing independent network, own key payer relationships, influence reimbursement outcomes, and drive innovation in value-based care. Working closely with executive leadership, this position provides strong visibility and the ability to shape long-term direction—ideal for a professional in payer contracting, provider relations, or managed care ready to step into a more strategic leadership role. This role offers a unique opportunity to step into a Director-level position with strategic influence and executive visibility.

IMPACT AND RESPONSIBILITIES
• Lead the development and execution of managed care contracting strategies
• Negotiate agreements with commercial and government payers
• Build and strengthen payer and employer partnerships
• Drive initiatives related to value-based and alternative payment models
• Monitor payer trends and identify opportunities for optimization
• Analyze reimbursement data and provide strategic insights to stakeholders
• Resolve complex claims and contract performance issues
• Support the growth of the provider network and clinical integration efforts

QUALIFICATIONS

We are seeking a professional with a strong foundation in payer contracting and healthcare strategy who is ready to take ownership of a critical function.

  • Bachelor’s degree in Healthcare Administration, Business, or related field required; Master’s degree (MHA, MBA, or related) preferred
  • 5+ years of experience in healthcare administration, insurance, or managed care
  • Experience in managed care contracting, provider relations, or payer strategy
  • Experience working within a health system, physician group, or health plan (e.g., Avera Health, Sanford Health, Wellmark Blue Cross Blue Shield, UnitedHealthcare, Medica)
  • Proven experience negotiating and managing payer contracts
  • Familiarity with value-based care models and reimbursement structures
  • Strong analytical, communication, and relationship management skills

BENEFITS AND PERKS

  • Health (BCBS), dental, and vision insurance – eligible on your first day
  • Substantial annual discretionary bonus
  • Very competitive pay and paid time off
  • Generous 401(k) employer match
  • Free daily lunches
  • Professional license reimbursement
  • Educational assistance and professional growth opportunities
  • And more

Sioux Falls Specialty Hospital is proud to be physician-owned and operated.

We are an Equal Opportunity/Affirmative Action Employer – Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.

For more info or questions contact HR: Email: careers@sfsh.com

Sioux Falls Specialty Hospital
910 East 20th Street
Sioux Falls, SD 57105

 

Benefits & Perks:
  • Health (BCBS), Dental, and Vision Insurance - Eligible FIRST day of employment
  • Discretionary Bonus Pay
  • Competitive Pay & PTO
  • 401(k) Employer Match
  • FREE DAILY Lunches
  • Annual Scrub Allowance
  • Professional License Reimbursement
  • Educational Assistance & Professional Growth Opportunities
  • Fitness Membership Stipend
  • Employer Paid Life Insurance and Long-Term Disability
  • Voluntary Life Insurance
  • Voluntary Benefits – Short-Term Disability, Hospital
  • Indemnity, Critical Illness, & Accident Expense
  • Flex Spending Accounts (Medical & Dependent Care)
  • Health Savings Account
  • And MORE!