Clinical Director
Ashburn, VA · On-site
$81K - $111K/yr
Handle sensitive employee relations issues with integrity, either individually or with the ... payer restrictions.
Ashburn, VA · On-site
$81K - $111K/yr
Handle sensitive employee relations issues with integrity, either individually or with the ... payer restrictions.
Ashburn, VA · On-site
$81K - $111K/yr
Handle sensitive employee relations issues with integrity, either individually or with the ... payer restrictions.
Chantilly, VA · On-site
$162 - $243/hr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Chantilly, VA · On-site
$162 - $243/hr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Ashburn, VA · On-site
$81K - $111K/yr
Handle sensitive employee relations issues with integrity, either individually or with the ... Data and Business Analyst candidates cannot be considered due to payer restrictions. The above ...
Ashburn, VA · On-site
$81K - $111K/yr
Handle sensitive employee relations issues with integrity, either individually or with the ... Data and Business Analyst candidates cannot be considered due to payer restrictions. The above ...
Chantilly, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Chantilly, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Washington, DC · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Washington, DC · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Additionally, the DOR will manage payer source utilization, resources and perform quality assurance ... Must demonstrate effective leadership and customer relations skills. Working knowledge of budgeting ...
Additionally, the DOR will manage payer source utilization, resources and perform quality assurance ... Must demonstrate effective leadership and customer relations skills. Working knowledge of budgeting ...
Fairfax, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Fairfax, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Washington, DC · On-site
$162 - $243/hr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Washington, DC · On-site
$162 - $243/hr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Communicates with our shared services team around FQHC partnerships and payor relations and takes ... Work with the national team to develop a payer account management strategy that includes growing ...
Communicates with our shared services team around FQHC partnerships and payor relations and takes ... Work with the national team to develop a payer account management strategy that includes growing ...
Baltimore, MD · On-site
$175 - $200/hr
Communicates with our shared services team around FQHC partnerships and payor relations and takes ... Work with the national team to develop a payer account management strategy that includes growing ...
Baltimore, MD · On-site
$175 - $200/hr
Communicates with our shared services team around FQHC partnerships and payor relations and takes ... Work with the national team to develop a payer account management strategy that includes growing ...
Arlington, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Arlington, VA · On-site
$162K - $243K/yr
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans; Experience ... Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage ...
... boards, conferences, workshops, and/or payer interactions. * Maintain knowledge of ... Excellent communication skills, especially in relation to project management,ensuringeffective ...
... boards, conferences, workshops, and/or payer interactions. * Maintain knowledge of ... Excellent communication skills, especially in relation to project management,ensuringeffective ...
Washington, DC · Remote
$286K - $353K/yr
Health plan, managed care, or payer experience in a Medical Director or comparable physician ... provider relations, pharmacy, compliance, or network. * Experience using clinical, quality ...
Washington, DC · Remote
$286K - $353K/yr
Health plan, managed care, or payer experience in a Medical Director or comparable physician ... provider relations, pharmacy, compliance, or network. * Experience using clinical, quality ...
Lead preparation and oversight for state reviews, Medicaid audits, payer audits, and compliance ... Community Relations * Serve as a representative of Beautiful Hearts and Minds Health Services ...
Quick apply
Lead preparation and oversight for state reviews, Medicaid audits, payer audits, and compliance ... Community Relations * Serve as a representative of Beautiful Hearts and Minds Health Services ...
Lead preparation and oversight for state reviews, Medicaid audits, payer audits, and compliance ... Community Relations * Serve as a representative of Beautiful Hearts and Minds Health Services ...
Quick apply
Lead preparation and oversight for state reviews, Medicaid audits, payer audits, and compliance ... Community Relations * Serve as a representative of Beautiful Hearts and Minds Health Services ...
... neighborhood, paying homage to the maritime and industrial-working heritage of its setting ... Regularly communicates with staff and maintains good relations Financial * Works with F&B Director ...
... neighborhood, paying homage to the maritime and industrial-working heritage of its setting ... Regularly communicates with staff and maintains good relations Financial * Works with F&B Director ...
... payer interactions. Maintain knowledge of statistical methodology in relevant areas and promote ... Excellent communication skills, especially in relation to project management, ensuring effective ...
... payer interactions. Maintain knowledge of statistical methodology in relevant areas and promote ... Excellent communication skills, especially in relation to project management, ensuring effective ...
... or payer interactions. * Maintain knowledge of statistical methodology in relevant areas and ... Excellent communication skills, especially in relation to project management, ensuring effective ...
... or payer interactions. * Maintain knowledge of statistical methodology in relevant areas and ... Excellent communication skills, especially in relation to project management, ensuring effective ...
$40.3K - $53K
5% of jobs
$53K - $65.6K
9% of jobs
$72.1K is the 25th percentile. Wages below this are outliers.
$65.6K - $78.2K
20% of jobs
$78.2K - $90.9K
15% of jobs
The median wage is $91.6K / yr.
$90.9K - $103.5K
9% of jobs
$103.5K - $116.2K
9% of jobs
$126K is the 75th percentile. Wages above this are outliers.
$116.2K - $128.8K
8% of jobs
$128.8K - $141.4K
8% of jobs
$141.4K - $154.1K
8% of jobs
$154.1K - $166.7K
5% of jobs
$166.7K - $179.4K
1% of jobs
$40.3K
$104.3K
$179.4K
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.
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.
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.
For Director Payer Relations jobs in Silver Spring, MD, the most frequently searched job titles are:
The top searched job categories for Director Payer Relations jobs in Silver Spring, MD are:
Cities near Silver Spring, MD with the most Director Payer Relations job openings:

$81K - $111K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 21 days ago
5.3
Based on 42 frontline employees who took The Breakroom Quiz
843rd of 898 rated healthcare providers
Acorn Health is looking for a Board Certified Behavior Analyst (BCBA) to join us as a Clinical Director as we increase access to care in the Washington DC Metro area up in Ashburn, Virginia.
We also have additional clinics in wider Virginia region and beyond!
We believe in clinical quality. The compensation reflected in the job post includes the base level of a bonus package tied to your delivery of clinical impact hours. We look forward to sharing more details with you should you choose to seek partnership with Acorn Health.
Every day and every interaction, we strive to demonstrate our Five Core Values.
You'll have the opportunity to work in a team-oriented environment and engage in a wide range of activities, focused on providing behavior analytic assessment and treatment services in our clinical centers, at client homes, and/or in community settings.
What our Clinical Directors do:
Why work for Acorn Health:
You're perfect for the position if you have:
Note: This position requires a Board Certified Behavior Analysis (BCBA) from the BACB. Data and Business Analyst candidates cannot be considered due to payer restrictions.
Get the full story on Breakroom
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Individual, family and community social assistance
1 - 10 Employees
Miami, FL, US
2018