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Director Payer Relations Jobs (NOW HIRING)

Glaukos

Payer Relations Director

San Clemente, CA · Remote

The Payer Relations Director (PRD), is a remote, home based position and is responsible for the successful coverage and reimbursement as well as the overall management of coverage, coding, and ...

Aeroflow Health

Payer Relations Associate

Asheville, NC · On-site

$37K - $47K/yr

As a Payer Relations Associate, you will support payer-facing initiatives by managing relationships ... Engage with Senior Manager to Director-level leadership at health plans to address claims issues ...

Aeroflow Inc.

Payer Relations Associate

Asheville, NC · On-site

$37K - $47K/yr

As a Payer Relations Associate, you will support payer-facing initiatives by managing relationships ... Engage with Senior Manager to Director-level leadership at health plans to address claims issues ...

Aeroflow

Payer Relations Associate

Asheville, NC · On-site

$37K - $47K/yr

Aeroflow Health - Payer Relations Aeroflow Health is made up of creative and talented associates ... Engage with Senior Manager to Director-level leadership at health plans to address claims issues ...

Glaukos

Payer Relations Director

San Clemente, CA · Remote

The Payer Relations Director (PRD), is a remote, home based position and is responsible for the successful coverage and reimbursement as well as the overall management of coverage, coding, and ...

W3Global Inc.

Director of Payer Relations

Carson City, NV · On-site

$150K - $220K/yr

Summary:- The Director of Payer Relations is responsible for leading the organization's payer strategy, contract negotiations, and ongoing payer performance management to optimize reimbursement and ...

Glaukos

Payer Relations Director

San Clemente, CA · On-site

The Payer Relations Director (PRD), is a remote, home based position and is responsible for the successful coverage and reimbursement as well as the overall management of coverage, coding, and ...

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How much do director payer relations jobs pay per year?

As of Sep 13, 2026, the average yearly pay for director payer relations in the United States is $100,880.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $131,500.00 per year, depending on experience, location, and employer.

What does a director payer relations do?

A Director of Payer Relations is responsible for managing relationships between a healthcare organization and insurance payers. They negotiate contracts, ensure compliance with payer requirements, and develop strategies to optimize reimbursement. Their role involves analyzing payer policies, resolving reimbursement issues, and collaborating with internal teams to improve financial performance. By maintaining strong relationships with payers, they help ensure patients receive appropriate coverage while supporting the organization's revenue goals.

What are the key skills and qualifications needed to thrive as a director payer relations?

To thrive as a Director Payer Relations, you need deep knowledge of healthcare reimbursement, contract negotiation, and payer-provider dynamics, typically backed by a bachelor’s or master’s degree in healthcare administration or a related field. Familiarity with claims adjudication platforms, contract management software, and compliance regulations such as HIPAA is essential. Exceptional relationship-building, leadership, and strategic communication skills help foster productive partnerships and resolve conflicts. These competencies are crucial for securing favorable contracts, optimizing revenue cycles, and aligning organizational objectives with payer requirements.

What are the most common challenges faced by a director payer relations, and how does the role address them?

A Director of Payer Relations often navigates complex negotiations with insurance companies, manages evolving reimbursement models, and ensures compliance with a changing regulatory environment. Balancing organizational goals with payer constraints can be challenging, especially as market dynamics and healthcare policies shift. Success in this role frequently requires innovative problem-solving, strategic compromise, and the ability to build strong, collaborative relationships with both internal teams and external payers. Proactively staying informed about industry trends and maintaining open communication channels are key strategies for overcoming these challenges.

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Director Payer Relations jobs near you
Infographic showing various Director Payer Relations job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 85% Full Time, 12% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $100,880 per year, or $48.5 per hour.

Director, Payer Relations (32413)

Southlake, TX • On-site

GI Alliance
Health Care and Social Assistance • 5 - 10K employees
Learn more about GI Allianceexternal

Full-time

Posted 10 days ago

GI Alliance rating

6.4

Company rating: 6.4 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

Job description

GI Alliance is seeking an experienced Director of Payer Relations.
Duties of this position include, but are not limited to, the following:
Responsibilities:
  • This position is responsible for supporting the Executive Director in the contractual life cycle of assigned payer agreements via the negotiation, renegotiation, monitoring and maintenance of the paper and the development and management of associated payer contact relationships.
  • This position has a strong understanding of payer contract language and supports negotiations to yield favorable contractual terms and rates in alignment with organizational business and financial needs
  • The Director, Payer Relations navigates, researches, and resolves complex payer issues related, but not limited to, system loads, reimbursement, authorizations, appeals, and recoupments
  • This position develops strong internal collaborative relationships with operational, clinical, legal, and financial partners to achieve efficient, effective, and long-term resolution of payer issues
  • The Director, Payer Relations contributes to the overall strategic direction of the department through an understanding of payer rates and reimbursement structure and associated impact to overall financial performance, payer market dynamics and market share, and how payers acquire and are awarded new business across all financial classes
  • Monitors, and maintains all managed care payer contracts in a transparent, centralized location that is accessible
  • Works collaboratively with key internal and external stakeholders to coordinate communication of contract terms and provisions
  • Completes education and training to various internal parties, including administrative and clinical staff, regarding new or updated contract requirements
  • Reviews single case agreement terms, conditions, and rates for leadership approval
  • Monitors payer scorecards and/or other reporting mechanisms to monitor overall payer performance
  • Assists in payer dispute resolution projects, settlements, RCM and credentialing requested as needed
  • Performs other duties and projects as assigned
  • Demonstrates initiative to continually enhance understanding of the changing healthcare market by state and local regions
  • Exhibit's ability to work independently and is self-directed

Qualifications:
  • 5 years healthcare experience, including 3 years of managed care experience in a managed care organization
  • Experience negotiating contracts directly with Payors required
  • Strong payor contract knowledge required, previous payor operations experience is ideal
  • Demonstrated success in working with Payors required
  • Knowledgeable of healthcare provider operations
  • Must be able to travel up to 10% of the time

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.
NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
No phone calls or agencies, please.
EEO/AA-M/F/disabled/protected veteran

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