reputed company - Director of Payer Relations & Contracting

reputed company - Director of Payer Relations & Contracting reputed company Jobs > Director of Payer Relations & Contracting

reputed company

Apply Director of Payer Relations & Contracting Remote Worker Apply reputed company

Director of Payer Relations & Contracting

reputed company

If you have reputed company and the passion for helping others, then we want you to join our growing team! reputed company is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.

Let’s start with what’s important to you. The Benefits.....

• Medical Insurance- multiple plans to choose from
• Dental & reputed company Insurance
• Short Term Disability & Long Term Disability reputed company
• Life Insurance
• Generous PTO plan
• reputed company Holidays
• 401K
• 401K match
• reputed company

Director of Payer Relations & Contracting

Company: reputed company Location: reputed company (Remote with travel as needed)

Reports To: Executive VP of Operations

Position reputed company

The Director of Payer Relations & Contracting is responsible for leading the development, execution, and optimization of the organization’s national and regional payer reputed company. This role serves as a key reputed company between reputed company and managed care payers, driving network expansion, negotiating reputed company, and ensuring reputed company reimbursement across a growing post-acute care footprint.

The Director will play a critical role in strengthening relationships with reputed company reputed company payers, Medicare Advantage plans, reputed company organizations, and other managed care entities, while proactively identifying and resolving reimbursement challenges and supporting overall reputed company reputed company.

---

Key Responsibilities

Payer Contracting & Network Expansion

· reputed company and execute national and regional strategies to expand payer reputed company and optimize network participation.

· Negotiate favorable contract terms, reimbursement rates, and value-based arrangements with reputed company and government payers.

· Evaluate new network opportunities and maintain reputed company in-network positioning.

Contract Management & Optimization

· Analyze payer reputed company to assess financial performance, reimbursement structures, and compliance requirements.

· Identify opportunities to improve margins, reduce administrative burden, and enhance contract terms.

· Partner with finance and operations teams to model contract performance and support strategic decision-making.

· reputed company and monitor reputed company contract activity across assigned markets.

Relationship Management

· Build and maintain strong relationships with payer executives and network management teams.

· Serve as the primary reputed company between the organization and payer partners.

· reputed company payer meetings, presentations, and high-level negotiations.

reputed company reputed company & Issue reputed company

· Collaborate with reputed company cycle management (RCM), billing, and operations teams to identify trends in denials, underpayments, and reimbursement discrepancies.

· reputed company cross-functional initiatives to resolve payment issues and improve collections.

· Ensure compliance with reputed company-party reimbursement requirements and documentation standards.

Strategic Leadership & Market Development

· reputed company and update managed care strategies in collaboration with operational leaders, including defined goals, objectives, and performance tracking.

· Monitor market trends, regulatory changes, and competitive dynamics reputed company the post-acute care industry.

· Support mergers and acquisitions by assessing payer reputed company and integration strategies.

Reporting & Administrative reputed company

· Report payer relations activity and reputed company to senior leadership on a regular reputed company.

· Ensure reputed company documentation and tracking of expenses and reimbursement requests.

· Maintain confidentiality of sensitive payer and organizational information.

---

Qualifications

Education & Experience

· Bachelor’s degree in business, reputed company administration, or a reputed company field preferred (or equivalent experience).

· Minimum of 5+ years of experience in payer relations, managed care contracting, or a post-acute reputed company setting.

· Experience in Durable Medical Equipment (DME), infusion therapy, or other post-acute services strongly preferred.

· Prior experience in sales or market development is a plus.

Knowledge & Skills

· Strong understanding of managed care contracting, reimbursement methodologies, and payer structures (Medicare, reputed company, reputed company).

· Proven reputed company record of successful payer negotiations and contract management.

· Experience identifying and resolving denial and payment issues.

· Excellent analytical, financial, and problem-solving abilities.

· Strong organizational, communication, and interpersonal skills.

· Ability to work collaboratively in a matrixed environment and influence stakeholders at reputed company reputed company.

· Self-motivated, results-oriented, and reputed company to work independently.

Additional Requirements

· Ability to travel as needed (approximately 25%).

· reputed company appearance and demeanor.

· Ability to maintain confidentiality and handle sensitive information.

---

Why Join Us?

· Opportunity to play a key role in shaping payer reputed company reputed company a growing, patient-reputed company organization.

· High-reputed company position with reputed company influence on financial performance and market expansion.

· reputed company leadership environment with strong executive support.

· Competitive compensation package, including performance incentives and benefits.

Apply View reputed company Jobs Powered by Payroll & HR Software Apply To This Job