Senior Director, Payor Contracting – Practice Integration, Transition Support

This is a fully remote position, open to applicants in North Carolina, +1 more state.

📋 Description

• Establish the enterprise contracting strategy for each new practice: tuck-in, pillar, or de novo.

• Spearhead negotiations for new and modified commercial, Medicare Advantage, and Medicaid MCO payor agreements.

• Evaluate fee schedules and reimbursement terms to pinpoint rate discrepancies, renegotiation possibilities, and risk exposure.

• Maintain the payor contract library and tracking system.

• Collaborate with legal counsel on contract language, risk terms, and reimbursement modeling.

• Develop and assess payor contracting profiles against pre-close inventory.

• Create project plans and trackers for due diligence and associated timelines.

• Ensure that current fee schedules are readily available to RCA teams.

• Oversee the payor-related integration workstream, which includes pre-close assessments, day-one network readiness, and post-close rate reconciliation.

• Facilitate communication on payor-related matters between acquired practices and revenue cycle, finance, and IT teams.

• Promote credentialing and ensure uninterrupted patient access throughout transitions.

• Manage contracting timelines while identifying risks and dependencies.

• Lead onboarding discussions with practice owners and billing staff.

• Monitor integration milestones and report payor readiness to leadership.

• Provide guidance to newly acquired practice owners regarding payor strategy.

• Cultivate relationships with payor representatives.

• Create repeatable contracting frameworks, templates, and checklists.

• Assist in team training, workflow and vendor ROI assessment, and ad-hoc payor projects.

⛳️ Requirements

• Bachelor's degree required.

• 5+ years of experience in payor contracting, managed care, or provider network management.

• Direct experience in negotiating commercial, Medicare Advantage, and/or Medicaid MCO contracts.

• Prior experience in supporting multi-site healthcare practice acquisitions is highly preferred.

• Strong skills in contract negotiation and fee schedule analysis.

• Proven project management capabilities across cross-functional teams.

• Excellent interpersonal skills; adept at quickly building trust with new partners under pressure and assisting them in adapting to change.

• Familiarity with healthcare regulatory frameworks (Stark Law, Anti-Kickback Statute, corporate practice of medicine) is a plus.

• Comfortable navigating ambiguity and rapidly changing priorities typical of a growth-stage or acquisitive organization.

• Ability to communicate effectively, both orally and in writing.

• Strong interpersonal skills.

• Exceptional leadership and presentation abilities.

• Excellent organizational skills with a keen attention to detail.

• Knowledge of data analysis and data mining tools, including data warehouses and Microsoft Excel.

• Required travel up to 20%.

🏝️ Benefits

• Medical, dental, and vision care.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Professional development resources.

• Mentorship programs.

• Employee resource groups.

• Volunteer activities.