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Director Payer Relations Jobs in Silver Spring, MD

Pwc

Payer Quality Consultant, Director

Baltimore, MD · On-site

$155K - $410K/yr

... Payer Quality Consultant, Director, you will lead strategic initiatives within our Operations ... relations. Your role is crucial in driving business growth, shaping the direction of client ...

Pwc

Payer Quality Consultant, Director

Washington, DC · On-site

$155K - $410K/yr

... Payer Quality Consultant, Director, you will lead strategic initiatives within our Operations ... relations. Your role is crucial in driving business growth, shaping the direction of client ...

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Director Payer Relations information

See Silver Spring, MD salary details

$40.3K

$104.3K

$179.4K

How much do director payer relations jobs pay per year?

As of Aug 27, 2026, the average yearly pay for director payer relations in Silver Spring, MD is $104,287.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,400.00 and $135,900.00 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.

What are popular job titles related to Director Payer Relations jobs in Silver Spring, MD?

For Director Payer Relations jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Director Payer Relations jobs in Silver Spring, MD look for?

The top searched job categories for Director Payer Relations jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Director Payer Relations jobs?

Cities near Silver Spring, MD with the most Director Payer Relations job openings:

Director Payer Relations jobs near you
Infographic showing various Director Payer Relations job openings in Silver Spring, MD as of August 2026, with employment types broken down into 2% As Needed, 85% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $104,287 per year, or $50.1 per hour.

Director, Payer Growth & Strategic Partnership - 3012

AbsoluteCare

Baltimore, MD • On-site, Remote

Full-time

Re-posted 18 days ago

Job description

Job Summary
This role serves as a support leader responsible for accelerating growth across existing payer partnerships, advancing AbsoluteCare's strategic objectives through strong payer collaboration, identifying growth opportunities, optimizing contract performance, and supporting contract operational performance in the assigned market(s). Reporting directly to the Chief Growth Officer, this role serves as a strategic liaison between AbsoluteCare and its health plan partners, working closely with Market Presidents, Medical Directors, Operations Leaders, Finance, Analytics, Quality, Marketing, and Shared Services teams.
This role blends traditional account management/client success (i.e. service and issue resolution) with driving growth, strengthening executive payer partnerships, supporting revenue expansion, and ensuring payer relationships translate into improved membership, enhanced contract performance, and long-term organizational success.
Duties and Responsibilities
Strategic Growth
  • Participate in the development, support and execute annual payer-specific growth strategies with Market Presidents and the Chief Growth Officer.
  • Identify opportunities for market expansion, and membership growth across Medicaid, D-SNP, Medicare Advantage, HIV, SMI, CKD and other targeted populations where applicable
  • Support strategic discussions and initiatives focused on growth, innovation and operational excellence that can include RFPs and other key company initiatives.

Payer Relationship Management
  • Develop trusted relationships within assigned payer partnerships, particularly with payer relations executives & other key stakeholders and serve as the primary coordination point between payer partners and operational teams.
  • Lead cross-functional coordination across shared services functions to ensure payer partners receive timely, accurate, and actionable information related to performance, outcomes, operational initiatives, and strategic priorities.

  • Represent AbsoluteCare in executive meetings and industry forums alongside Market President and Chief Growth Officer to drive payer satisfaction, retention and engagement
  • Support quarterly health plan Joint Operating Committee strategy, preparation and lead monthly payer executive operating reviews
  • Drive organizational alignment around payer account objectives by connecting internal stakeholders, facilitating issue resolution, and ensuring successful execution of contractual, operational, and growth-related initiatives.
  • Own the integrity and strategic value of CRM data by ensuring all customer accounts, executive stakeholders, key decision-makers, engagement activities, contract milestones, opportunities, and account insights are consistently documented and maintained.
  • Leverage the CRM as the system of record to support account growth, retention, forecasting, and organizational alignment.

Contract Performance & Value-Based Care Management
  • Maintain expert knowledge of assigned payer contracts
  • Monitor performance against contractual, quality, and SLA requirements and present updates to leadership
  • Identify performance gaps and coordinate corrective action plans
  • Support contract renewals, expansions, conversions and amendments
  • Identify opportunities to increase contract value and revenue generation
  • Monitor market dynamics and competitive intelligence
  • Co-lead dashboard development and executive reporting
  • Support implementation and readiness for new contracts and markets

Minimum Qualifications
  • Bachelor's degree in healthcare, business, public health, finance, marketing or related field.
  • 8-12+ years of healthcare leadership experience.
  • 5+ years in payer/provider partnerships, managed care, value-based care or business development.
  • Experience with Medicaid, Medicare Advantage and D-SNP populations.
  • Ability to travel 30%

Preferred Qualifications
  • Master's degree in Business Administration (MBA), Human Resources Management (MHRM), or a related field

Working conditions
This job operates in a professional office environment and remotely. This role requires a dedicated, quiet workspace with the ability to adhere to HIPAA and other privacy policies. A reliable and high-speed Wi-Fi connection.
Physical requirements
  • Ability to communicate clearly and exchange accurate information constantly.
  • Ability to remain stationary for long periods of time.
  • Repetitious movements.
  • Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.

Direct reports
None.
Company Description:
Why Work at AbsoluteCare?
At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer.
We call this "care beyond medicine." We have turned the doctor's office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members' needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.
We don't stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works.
Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.
AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

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