Director of Payor Relations
Core
Senior individual contributor owning all payor relations, contract management, and strategy for an assigned regional portfolio of vein treatment clinics.
Role type
Senior individual contributor payor relations director
Builds
Regional payor contracts, fee schedules, and revenue protection strategies for multi-state vein care clinics
Domain
Healthcare / Managed Care Contracting
Deliverable
client delivery
Required skills
Managed care contracting, contract negotiation, fee schedule management, revenue cycle analysis, cross-functional leadership, market expansion strategy, regulatory compliance, financial modeling, stakeholder management
Preferred skills
MBA/MHA, PE-backed healthcare experience, value-based care arrangements, Athena Practice platform, multi-state credentialing
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; identify and resolve revenue leakage and denial patterns; lead payor outreach for new market expansions; build dashboards for contract profitability and denial trends; establish SOPs for cross-functional payor execution.
Seniority
Senior, hands-on IC
