This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Director of Payer Relations & Contracting in United States.
This strategic leadership role is ideal for a driven professional passionate about improving access to care while optimizing financial performance in a dynamic healthcare environment. You will lead the development and execution of payer strategies across national and regional markets, shaping how services are contracted, reimbursed, and expanded. Working cross-functionally with finance, operations, and revenue cycle teams, you will influence key decisions that directly impact growth and sustainability. The position offers a high level of visibility and collaboration with senior leadership, along with the opportunity to build strong partnerships across the payer landscape. With a focus on innovation, efficiency, and relationship-building, this role is critical to advancing long-term organizational success.
Accountabilities:- Lead the design and execution of national and regional payer contracting strategies to expand network participation and optimize reimbursement outcomes
- Negotiate and manage contracts with commercial insurers, Medicare Advantage plans, Medicaid organizations, and other managed care entities
- Analyze contract performance, identify optimization opportunities, and collaborate with internal teams to improve margins and operational efficiency
- Build and maintain strong relationships with payer partners, serving as the primary point of contact for negotiations and strategic discussions
- Partner with revenue cycle, billing, and operations teams to address denials, underpayments, and reimbursement challenges
- Drive cross-functional initiatives to enhance revenue integrity, compliance, and overall financial performance
- Monitor market trends, regulatory developments, and competitive dynamics to inform strategic planning and growth initiatives
- Support mergers and acquisitions by evaluating payer contracts and integration strategies
- Provide regular reporting and insights to senior leadership on payer activities and performance
Requirements:
- Bachelor’s degree in business, healthcare administration, or a related field (or equivalent experience)
- At least 5 years of experience in payer relations, managed care contracting, or post-acute healthcare environments
- Strong expertise in reimbursement methodologies, payer structures, and contract negotiation across Medicare, Medicaid, and commercial payers
- Proven ability to manage and optimize contracts while driving measurable financial outcomes
- Experience resolving reimbursement issues such as denials, underpayments, and billing discrepancies
- Excellent analytical, financial modeling, and problem-solving skills
- Strong communication and interpersonal abilities, with the capacity to influence stakeholders at all levels
- Ability to work both independently and collaboratively in a fast-paced, matrixed organization
- Willingness to travel up to approximately 25% as needed
Benefits:
- Competitive compensation package with performance-based incentives
- Comprehensive medical, dental, and vision insurance options
- Life insurance and short-term and long-term disability coverage
- Generous paid time off and paid holidays
- Retirement savings plan with employer matching
- Flexible, remote-friendly work environment with travel opportunities
- Opportunity to play a key role in a growing, mission-driven organization
- Strong leadership support and collaborative team culture
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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