Manager - Managed Care and Payor Strategy

Overview

Manager – Managed Care and Payor Strategy

The Willamette Valley Cancer Institute and Research Center is looking for a Market Manager of Managed Care and Payor Strategy  to join our patient-centered and mission-based team. This position will recommend, develop, coordinate, and implement strategies that will advance WVCI’s mission of lessening the burden of cancer for those who we serve in our communities. This position will support multiple Executive Directors in two distinct markets and represent both companies in payor and referral relations, perform market assessments, and will negotiate all managed care contracts. They will also support and adhere to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Salary / Wage Range :

$85,000 - $130,000

Plus a 10% Annual Bonus Opportunity

Employment Type : Full time, 1.0 FTE

Benefits : M / D / V, Life Ins., 401(k)

Location : Eugene, OR or Portland Metro Area

Responsibilities

• Leads contract negotiation and management , reviewing language and pricing to maximize reimbursement while ensuring compliance with budgetary and policy guidelines.
• Develops and executes managed care strategies based on market analysis, ensuring alignment with organizational goals and adapting to changing payor and competitive dynamics.
• Collaborates cross-functionally with physicians, operations, contract administrators, and corporate teams to ensure effective strategy implementation and contract execution.
• Analyzes managed care contracts and reimbursement proformas to support Executive Directors, Business Office Managers, and Regional Managed Care leadership in evaluating proposals, amendments, and contract language.
• Coordinates the contract lifecycle process , including document routing, contract tracking, file maintenance, and timely communication of contract changes to business offices and management teams.
• Acts as liaison between the medical groups, provider relations, payors, hospitals, and other stakeholders to facilitate meetings, resolve issues, and ensure alignment with managed care objectives.
• Prepares quarterly reports on reimbursement trends, contract performance, market opportunities, and payer changes; supports market and financial analysis to inform strategic planning.
• Provides training and guidance to billing, collections, and business office staff on new or updated agreements; ensures departmental readiness and compliance with managed care goals.

Qualifications

PHYSICAL DEMANDS :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires sitting for long periods of time. Some bending and stretching required. Adequate finger dexterity and feeling to perform keyboarding and substantial repetitive motions involving the wrists, hands and / or fingers. Requires corrected vision and hearing to normal range. Must be able to view computer screen and printed material accurately. The employee may occasionally lift and / or move up to 30 pounds. Requires occasional travel by air or automobile.

Work Environment :

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is typical of an office setting. Requires occasional travel by air or automobile..

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.