Overview:
At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.
As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:
Clinical quality-
Integrity
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Service excellence
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Teamwork
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Accountability
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Continuous improvement
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Inclusion
Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Accountabilities / Responsibilities:
This opportunity requires 25% travel to facilities. Candidate must be located in Pacific Time Zone.
The Senior Manager of Payer Engagement manages day-to-day payer needs for an assigned portfolio of SCA Health facilities and supports the execution of payer strategies that drive revenue sustainability, growth, and enterprise value. This role partners with Operations, Finance, Development, Revenue Cycle, clinical leaders, and payer stakeholders to execute tactical negotiation strategies, advance payer relationships, support growth initiatives, and translate data into actionable plans.
The ideal candidate brings payer contracting or reimbursement experience, strong analytical and communication skills, and the ability to build trusted relationships across a matrixed organization. This teammate should demonstrate ownership, sound judgment, service excellence, and the ability to influence internal and external stakeholders in support of SCA Health’s strategic objectives.
1. Execute Payer Strategy and Contracting Priorities
Manage day-to-day contracting needs for a portfolio generally spanning 8–13 centers and $50M–$150M NPR, ensuring contracting priorities are aligned with operational, financial, and growth objectives.
Execute tactical payer negotiation strategies established in partnership with leadership, with increasing ability to identify opportunities, manage risk, and drive revenue sustainability.
Monitor payer performance, contracting opportunities, reimbursement trends, and access issues to support facility and market-level decision-making.
2. Advance Payer Relationships
Communicate the ASC value proposition by aligning payer priorities with access, affordability, quality, and mutual value.
3. Partner with Operations and Internal Stakeholders
Partner with Revenue Cycle, Finance, Operations, and other internal teams to identify and resolve contractual or reimbursement issues impacting collections, performance, or growth.
Provide clear, timely communication to stakeholders regarding payer risks, opportunities, negotiation status, and action plans.
Participate in operating reviews, growth discussions, physician partnership conversations, and cross-functional workstreams as needed to support revenue and volume growth.
4. Support Growth, Development, and Strategic Initiatives
Execute strategies and tactics that support revenue growth through inorganic activities, including acquisitions, de novos, service line expansion, and other development opportunities.
Identify opportunities for continuous improvement in contracting processes, payer reporting, stakeholder communication, and execution discipline.
5. Use Data, Metrics, and Reporting to Drive Action
Leverage payer, reimbursement, operational, and financial data to identify opportunities, risks, and recommended actions.
6. Model Leadership, Collaboration, and SCA Health Values
Manage up effectively by proactively identifying risks, opportunities, problems, and proposed solutions.
Demonstrate strong accountability, follow-through, reliability, and timely communication of updates, challenges, and barriers.
Qualifications:
Bachelor’s degree in business, finance, healthcare administration, management, or a related field.
Experience with payer contracting, reimbursement, managed care, payment systems, or healthcare contracting strategy.
Strong verbal and written communication skills, especially in communicating payer strategy, contract portfolio status, and action plans.
Demonstrated ability to manage multiple priorities, meet deadlines, communicate proactively, and follow through on commitments.
Min: USD $112,600.00/Yr. Max: USD $160,400.00/Yr.
