Director Managed Services

Soni Resources is partnering with a client near Morristown, NJ, on the search for a Director of Contracts and Reimbursements
.

This role leads commercial payer strategy and contracting to drive profitable growth, expand market access, and optimize reimbursement across managed care channels. The Director develops and executes payer-focused strategies grounded in strong financial analysis, negotiates complex commercial contracts, and partners cross-functionally to ensure sustainable access and revenue performance.

• Lead commercial payer strategy, focusing on market access, reimbursement optimization, and profitable revenue growth across managed care and commercial insurance markets.
• Negotiate high-impact payer contracts with medical, pharmacy, and executive leadership to secure competitive reimbursement rates, favorable plan parameters, and improved margins.
• Analyze financial performance and contract economics to assess short- and long-term impact on revenue, profitability, and patient access.
• Develop and maintain strategic relationships with commercial and managed care payers, proactively managing access challenges and policy changes.
• Partner closely with Finance, Commercial Operations, Sales, Medical, Regulatory, and Legal teams to ensure contracts align with financial goals, compliance requirements, and corporate strategy.
• Oversee reimbursement strategy, including coordination with patient access hubs and management of patient purchase programs to ensure financial competitiveness.
• Translate managed market strategies into actionable guidance and training for field sales teams.
• Lead and develop Reimbursement Managers, setting performance expectations and ensuring execution aligns with access, compliance, and financial objectives.
• Monitor reimbursement trends, payer policies, and regulatory changes, including CMS, to inform contracting and access strategies.

• 10+ years of experience in commercial payer contracting, reimbursement, managed markets, and financial analytics within pharmaceutical or medical device environments.
• Deep understanding of commercial insurance markets, including medical and pharmacy benefits, payment models, and payer decision-making.
• Proven expertise negotiating complex contracts with strong financial outcomes.
• Advanced financial acumen with the ability to model contract economics, rebates, and reimbursement scenarios.
• Strong understanding of contract structure, legal considerations, and contract interpretation.

• Expertise in payer management tools, formulary management, performance-based contracts, and price protection strategies.
• Advanced knowledge of contract, rebate, and payment systems.
• Demonstrated ability to translate complex data into clear, actionable insights for executive decision-making.
• Experience working cross-functionally in matrixed organizations and leading geographically dispersed teams.
• Strong familiarity with CMS policies and reimbursement frameworks.

$170,000 - $180,000

Salary is based on a range of factors that include relevant experience, knowledge, skills, other job-related qualifications.