Department Overview
OHSU Payor Strategy & Managed Care Contracting is responsible for developing and executing strategies that ensure fair, sustainable reimbursement and strong payer partnerships across OHSU Health. The department leads negotiations with commercial, Medicare Advantage, and Medicaid health plans; structures contracts that support OHSU''s academic medical center mission; and aligns financial, clinical, and operational priorities across the health system.
Working in close partnership with Finance, Revenue Cycle, Clinical Operations, Population Health, and the OHSU Clinically Integrated Network (CIN), the team translates market insights, cost trends, and regulatory dynamics into actionable contracting strategies. This includes evaluating payer performance, advancing value-based care arrangements, and ensuring contract language protects OHSU from administrative burden and unfavorable policy changes. Through disciplined governance, data-driven analytics, and coordinated execution, the department supports access to high-quality care for patients while strengthening OHSU''s long-term financial sustainability and market position.
Function/Duties of Position
This position provides mission-critical project leadership for enterprise payor strategy initiatives, with a primary focus on supporting complex payor negotiations, contract performance management, and potential payor terminations that have direct and material impact on OHSU's financial sustainability, patient access, and public mission. Embedded within the Office of Payor Strategy, including the Office of OHSU Health Plan Services, this role serves as a central integrator across contracting, finance, operations, and clinical stakeholders to ensure disciplined execution of OHSU's highest-risk and highest-impact payor initiatives.
Project Management
Communications and Stakeholder Change Management
Project Analytics and Evaluation
Required Qualifications
Skills and Abilities
Preferred Qualifications
Master''s degree in Business/Healthcare Administration and six years of progressively responsible experience; OR
Equivalent combination of education, training and demonstrated experience.
Minimum of 4-5 years of project management experience with demonstrated ability to manage a portfolio of projects.
Project management experience in a hospital/healthcare or health plan setting.
Project Management (PMP) certification.
Additional Details
Work normal business hours in an office environment with availability nights and weekends. Occasional local and national travel.
Benefits
Why apply to OHSU?
We are Oregon''s only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland''s largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu