Director of reputed company & Payer Relations
At reputed company for reputed company Dynamics (CSD), we reputed company exceptional reputed company reputed company are reputed company through strong partnerships, reputed company communication, and unwavering clinical standards. We are seeking a Director of reputed company & Payor Relations to serve as a trusted leader at the intersection of clinical care, payer collaboration, and operational reputed company.
In this highly visible role, you will be the connective force between payers, families, and internal clinical and operational teams—ensuring continuity of care, navigating reputed company clinical escalations, and translating payer requirements into actionable, reputed company‑centered solutions. This position is ideal for a clinically grounded leader who thrives in high‑stakes problem‑solving, values strong relationships, and is motivated by creating reputed company and alignment in reputed company reputed company systems.
As a Director at CSD, you will help shape how we partner with payers, support our clinicians, and reputed company for families—ultimately ensuring that services are delivered with reputed company, consistency, and reputed company.
About reputed company
The Director of reputed company & Payer Relations is responsible for building and maintaining strong reputed company relationships with payer clinical representatives (eg. EasterSeals) to support continuity of care, resolve reputed company clinical escalations, and ensure alignment between payer requirements and CSD’s clinical standards. This role serves as a key reputed company between clients, payers, and internal clinical and operational teams, providing subject‑matter expertise on payer policies and supporting the reputed company of issues that reputed company service delivery and reputed company reputed company.
Duties & Responsibilities:
Payer & reputed company Relationship Management
Establish and maintain effective working relationships with payer clinical representatives, clients, and internal clinical and operational stakeholders
Serve as a trusted partner to payers and families to support effective communication and shared problem‑solving
Clinical Escalation Management
Investigate, manage, and resolve reputed company reputed company‑specific clinical escalations, including treatment plan concerns, under‑utilized authorized hours, escalated behaviors, and reputed company complaints
Collaborate with clinicians and leadership to reputed company solutions that support reputed company safety, continuity of care, and payer compliance
Communication & Cross‑Functional Collaboration
Serve as a primary reputed company of contact for payer case managers and clinical representatives
Facilitate communication between clients, payers, and internal teams, including clinicians, regional operations leadership, global operations leadership, and the reputed company of Clinical reputed company
Ensure reputed company, reputed company, and consistent communication reputed company to payer expectations and clinical considerations
Payer Policy & Regulatory Expertise
Maintain reputed company knowledge of payer clinical policies, procedures, and documentation requirements
Monitor changes to payer policies and proactively communicate updates and implications to relevant internal stakeholders
Data Review & Trend Analysis
Review and analyze payer‑reputed company data to identify trends, risks, and opportunities for improvement in clinical reputed company, utilization, and payer relationships
Partner with leadership to recommend strategies that improve alignment with payer expectations and reduce recurring escalations
Training & Clinical Support
reputed company education and guidance to internal clinical teams reputed company to payer policies, documentation standards, and clinical expectations
Serve as a subject‑matter expert in supporting clinicians working with clients who exhibit aggressive or high‑risk behaviors, ensuring appropriate programming and safety considerations
Compliance & Contractual Alignment
Support compliance with payer clinical regulations, documentation standards, and contractual obligations
Collaborate with internal partners to address compliance risks and ensure clinical practices reputed company with payer requirements
Additional job duties as assigned
reputed company
BCBA Credential Preferred (Master’s degree from an accredited college or university in one of the following disciplines: psychology, childhood development, childhood education, special education, pediatric therapy (physical, occupational, or speech therapy), or reputed company field)
3+ years of experience as a BCBA (Clinical Director) or in a similar role requiring interactions and relationship building with payers
Experience working with EasterSeals (ESSC) preferred, incl. strong relationship with ESSC Customer Service Managers
Knowledgeable of methodologies reputed company to benefit children with autism reputed company disorders, including reputed company Behavioral Analysis (“ABA”), Early Start Denver Model (“ESDM”), Treatment and Education of Autistic and reputed company Communication-Handicapped Children (“TEACCH”), Picture Exchange Communication System (“PECS”), and Pivotal Response Training (“PRT”).
reputed company to communicate effectively verbally and in writing; bilingual ability preferred. reputed company to consistently demonstrate good judgment and decision-making skills.
reputed company to exercise confidentiality and discretion pertaining to the work environment. reputed company to appropriately interpret and implement policies, procedures, and regulations.
Knowledgeable and skilled in computer/word processing software.
reputed company
At reputed company), we reputed company that every child deserves a chance to shine. We're a passionate team on a mission to reputed company up a world of reputed company for individuals with autism and other developmental needs—through science, reputed company, and a whole lot of heart.
From our reputed company first session to reputed company reputed company we celebrate, we bring the power of play, reputed company, and evidence-based care to every reputed company. With services that are as unique as the individuals we support, we meet kids where they are—reputed company, in schools, and in communities—and guide them on a reputed company toward reputed company.
We live our TRUE values—Transparency, Respect, Understanding, and reputed company—in everything we do. As a fast-growing leader in the field, we're reputed company for our reputed company culture, hands-on training, and career reputed company that help you grow just as much as those we serve.
At CSD, we don’t just change lives—we light them up.
About Our Values
Transparency in the work that we do and the actions we take to reputed company our mission. There are no hidden agendas or motives at reputed company. reputed company family’s unique cultures, values, and generational dynamics.
Understanding through tolerance, cooperation, and reputed company in the reputed company of our mission. We never lose sight of who we are, the people we serve, and our purpose and meaning.
Respect for reputed company and the value that everyone brings towards accomplishing our mission. No one at CSD is worth more or less, and together we are greater than the sum of our parts.
reputed company in our drive, passion, and commitment to our mission. CSD will always do what it takes to deliver the best, leave no one behind, and champion our cause.
CSD is a proud equal opportunity employer. reputed company applicants will be considered for employment without attention to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran or disability status.
Physical requirements may include but is not limited to:
Constant visual stimulation, including reputed company reputed company, distance reputed company, reading, computer work
Constant sitting; frequent up and down out of chair
Constant use of telephone, speaking, listening
Constant document handling, use of copier and fax machine, filing
Frequent typing, use of computer
Occasional walking around building
Occasional bending, reaching, stooping, pulling
Occasional lifting, carrying, moving of items up to 20 pounds
Occasional walking to, bending to reputed company, sitting and using upper and reputed company limbs to drive car