Manager - Payer Strategies - Acute

Responsibilities

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune;

and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Manager – Payer Strategies (Acute) (Nevada Market)

This role is focused on the tactical execution, administration and maintenance of hospital and physician managed care contracts and offers guidance on rate proposals and negotiation approaches. The position manages the full contract negotiation cycle for assigned contracts, focusing on specific financial reimbursement terms, rates, and language. It coordinates the implementation of new or renegotiated contracts within the organization, ensures compliance with contract terms, and collaborates with internal stakeholders to monitor payment accuracy and contract performance.

The role serves as a subject‑matter expert on contract specifics for the revenue cycle team and case management teams, and as a primary point of contact for routine payer‑related issues, disputes, and information sharing. It fosters functional relationships with internal stakeholders and payer representatives, works closely with finance and data analytics teams to provide support for negotiations, and monitors contract performance metrics to support the organization’s managed care strategy.

Develops strategies for contract relationships and negotiations, responds to market opportunities, and monitors significant market changes to protect and enhance market share for the UHS‑NV Region. Analyzes the significance and value of potential contracts, determines the cost of care based on care delivery and contract structure, and projects contract performance based on modeling of actual and representative samples.

Develops contract language to protect UHS‑NV Region’s best interest and satisfy strategic contracting objectives, reviews and revises language templates and counter‑proposal language for Health Plans, and ensures that terms meet the financial and operational needs of UHS‑NV Region.

Creates structures appropriate to the institution, including the full range of reimbursement structures (hospital, physician, ASC, bundled payments, capitation, etc.). Considers cost of care or performance targets in relation to the size and scope of the contract and develops and analyzes rates for proposals or counter‑proposals.

Serves as a liaison and knowledge resource to Revenue Cycle and other operational departments regarding ongoing contract compliance to support key business functions and drive continual improvement. Analyzes and monitors contract requirements, special provisions, terms, and conditions to ensure compliance with laws, regulations and UHS‑NV Regional policies and business procedures. Determines how the Contracting Department can assist with processes, communication, and interpretation of language for Revenue Cycle and other operational departments.

Engages in preparation and planning of annual renegotiations, reviews and develops contract language, and maintains historical records of payer/contract information. Participates in negotiation strategy and offers suggestions to regional and corporate leadership for changing future contracts based on review of existing contracts.

Establishes and implements a consistent schedule of Joint Operations Committee (JOC) meetings with key payors, addresses contract performance—including revenue cycle, utilization management, and other operational…