Director of Payer Relations & Contracting at Jobgether – United States

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.

• 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