Director Payer and Contracts Analytics

Shift:

First Shift (United States of America)

Director Payer and Contracts Analytics

Nebraska Medicine is seeking an experienced, strategic leader to serve as our Director of Payer Analytics and Contract Performance. This is an exciting opportunity to shape how we evaluate, manage, and optimize payer relationships across a leading integrated academic health system.

In this highly visible leadership role, you will bring together healthcare financial analytics, reimbursement strategy, contract valuation, and payer performance insights to help drive organizational financial performance and revenue optimization. You will partner with executive leaders and key stakeholders across Revenue Cycle, Revenue Integrity, Payer Strategy, Medical Group, and Population Health to identify opportunities, evaluate payer performance, uncover reimbursement trends, and translate complex financial data into actionable business strategies.

The ideal candidate is a forward-thinking healthcare finance and analytics leader who can connect the numbers to the bigger picture, influence decision-making, lead complex cross-functional initiatives, and help position Nebraska Medicine for continued financial and operational success.

This is a hybrid opportunity offering the ability to make a meaningful, enterprise-wide impact while working alongside exceptional leaders committed to advancing our mission.

Details:  Director Payer and Contracts Analytics

• Candidate must live in Nebraska or Iowa
• This is a hybrid position, must be able to work on campus
• Preferred consideration will be given to applicants with experience developing and executing payer analytics strategies and/or participating in payer negotiations in both fee-for-service and value-based reimbursement models
• Resume REQUIRED for consideration

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
• Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
• Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

The Director of Payer Analytics and Contract Performance serves as the organization’s strategic leader for payer reimbursement analytics, contract valuation, and payer performance management. This role functions as the functional leader for payer financial analytics and contract performance, providing leadership with actionable insights regarding payer profitability, reimbursement trends, contract performance, negotiation opportunities, underpayments, and revenue optimization strategies. The Director partners closely with Revenue Cycle, Revenue Integrity, Payer Strategy, Medical Group leadership, and Population Health leadership to maximize reimbursement performance across all payer arrangements.

Required Qualifications: Director Payer and Contracts Analytics

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, Economics, or related field required.
• Minimum of 10 years of progressively responsible experience in healthcare reimbursement, payer analytics, managed care finance, decision support, contract modeling, or a related field required.
• Minimum of 5 years of leadership experience including demonstrated success leading complex cross-functional initiatives required.
• Experience evaluating reimbursement performance across payer relationships required.
• Strong quantitative, financial modeling, and analytical skills required.
• Advanced proficiency with healthcare decision support and reimbursement systems required.

Preferred Qualifications: Director Payer and Contracts Analytics

• Master’s degree (MBA, MHA, or related) preferred.
• Experience within a large integrated health system or academic medical center preferred.
• Experience developing and executing payer analytics strategies and/or participating in payer negotiations in both fee-for-service and value-based reimbursement models preferred.
• Experience developing payer scorecards and executive performance dashboards preferred.
• Experience supporting clinically integrated network contracting activities preferred.