Director, Managed Care Revenue

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Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The Director, Managed Care Revenue provides enterprise-level strategic oversight of AltaMed's managed care revenue function, ensuring the financial integrity and optimization of all capitated and value-based payer relationships. Reporting to the SVP, Managed Care Finance & Services, the Director sets the strategic direction for managed care revenue analytics, contract financial performance, and long-range forecasting, and may lead and develop a team of finance and analytics professionals. Serving as the primary finance lead for managed care revenue strategy, this role engages directly with the AltaMed and MSO leadership and payer partners to shape contract strategy, advance alternative payment model adoption, and maximize performance-based incentive earnings across all payer programs. The Director is expected to proactively surface systemic revenue risks and opportunities, build scalable analytic infrastructure, and translate complex financial intelligence into executive-level decision-making that positions AltaMed for sustained financial performance in a complex, capitated managed care environment. Minimum Requirements Bachelor's Degree in Accounting, Finance, Health Administration, or a related field required. Master's Degree in Business Administration, Finance, or Health Administration strongly preferred; CPA is preferred. Minimum of 8 years of progressive experience in healthcare finance, managed care, or revenue cycle, with demonstrated advancement in scope and organizational accountability. Minimum of 5 years of experience in a managed care environment with direct responsibility for capitation revenue analysis, contract financial modeling, and payer performance management. Experience with capitated payment models, value-based care arrangements, Medicare Advantage, Medi-Cal, and alternative payment methodologies (APMs) required. Experience leading or substantially contributing to payer contract negotiations at an executive or near-executive level required. Experience in business intelligence and financial reporting tools (e.g., Tableau, Adaptive Planning, Power BI, SQL) required. Direct and/or indirect leadership experience with demonstrated ability to build, develop, and retain high-performing finance teams preferred.

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