Director of Payor Relations
Core
Senior individual contributor owning all payor relations, contract management, and strategy for an assigned regional portfolio of clinics.
Role type
Senior individual contributor payor relations director
Builds
Regional payor contracts, fee schedules, and revenue models
Domain
Healthcare / Managed Care Contracting
Deliverable
client delivery
Required skills
Managed care contracting, contract negotiation, fee schedule management, revenue modeling, payor landscape analysis, cross-functional leadership, regulatory compliance, data analytics
Preferred skills
MBA/MHA, PE-backed healthcare experience, multi-state credentialing knowledge, value-based care arrangements, Athena Practice platform proficiency (via careerplan.io/jobs/4309994009-director-of-payor-relations-at-metroveincenters)
Technologies
Tableau, RCM systems, contract modeling tools
Responsibilities
Lead payor contract negotiations for commercial, Medicare Advantage, and Medicaid plans; maintain regional fee schedules and contract compliance; develop regional payor strategy to grow net revenue; monitor reimbursement trends and identify revenue leakage; lead market expansion payor outreach and enrollment; serve as escalation point for complex payor issues; build dashboards for contract profitability and denial trends.
Seniority
Senior, hands-on IC
