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Director Payor Contracting Jobs (NOW HIRING)

Nutex Health

Payor Contracting and Negotiation: * Oversee negotiation, execution, and management of all payor contracts-including commercial, Medicare Advantage, Medicaid Managed Care, and employer direct ...

ACES

Director of Payor Strategy and Value

San Diego, CA · On-site +1

$140K - $160K/yr

DETAILED JOB SUMMARY: The Director of Payor Strategy & Value will be responsible for co ... Contracting roadmap for commercial payors, Medicaid MCOs, regional centers, school districts

Amedisys, Inc.

Payor Contract Manager - Remote

TN · Remote

Collaborates with director and payor contracting to achieve regional/market goals and contract targets. * Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO ...

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Director Payor Contracting information

What does a director payor contracting do?

A Director of Payor Contracting is responsible for negotiating and managing contracts between healthcare providers (such as hospitals or physician groups) and insurance companies or other payors. They analyze contract terms, ensure compliance with regulations, and work to secure favorable reimbursement rates for their organization. This role typically involves strategic planning, relationship management, and a deep understanding of healthcare reimbursement models. The Director also collaborates with finance, legal, and operational teams to optimize contract performance and address any disputes or issues that arise.

What are the key skills and qualifications needed to thrive as a director payor contracting?

To thrive as a Director Payor Contracting, you need deep knowledge of healthcare reimbursement, contract negotiation, and payer relations, usually supported by a bachelor’s or master’s degree in business, healthcare administration, or a related field. Familiarity with contract management systems, healthcare analytics tools, and regulatory compliance software is typically required. Strong leadership, analytical thinking, and persuasive communication skills are vital for managing teams and fostering successful payer partnerships. These competencies ensure effective negotiation, optimized reimbursement, and strategic alignment with organizational goals in a complex healthcare environment.

What are some common challenges faced by a director payor contracting, and how can they be addressed?

A Director of Payor Contracting often deals with complex negotiations, constantly changing regulations, and the need to balance organizational goals with payor requirements. One common challenge is keeping up with evolving reimbursement models and payer expectations, which requires strong analytical skills and adaptability. Collaborating closely with legal, finance, and clinical teams is essential to ensure contracts are both compliant and financially viable. Regularly reviewing market trends and maintaining open communication with payors can help anticipate changes and foster more productive partnerships.

What states have the most Director Payor Contracting jobs?

States with the most job openings for Director Payor Contracting jobs include:

What are popular job titles related to Director Payor Contracting jobs?

For Director Payor Contracting jobs, the most frequently searched job titles are:

Infographic showing various Director Payor Contracting job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Regional Payor Contracting Associate (remote, home based - South Carolina)

Columbia, SC • On-site, Remote

Fundamental Administrative Services, LLC
51 - 200 employees
Learn more about Fundamental Administrative Services, LLCexternal

$68K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Fundamental Administrative Services rating

5.1

Company rating: 5.1 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Job Highlights
*This position is remote, home based out of South Carolina (must live in South Carolina to be considered).
Position Summary
Fundamental Clinical & Operational Services, LLC is searching for an experienced Regional Payor Contracting Associate to focus on MCO and payor contracting for multiple client skilled nursing facilities and Behavioral Health Hospital located in South Carolina. This position will report directly to the Director of Payor Strategy & Contracting.
Posted Salary Range
USD $68,000.00 - USD $85,000.00 /Yr.
Wage Commensuration
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs.
Duties & Responsibilities
The Regional Payor Contracting Associate will (externally) work with MCO/Payors on the full life cycle of managed care contracting, including managed care contract inquiries, credentialing and rate negotiations.
The Regional Payor Contracting Associate will (internally) work directly with client skilled nursing facilities, behavioral health hospital and associated departments to develop payor portfolios, provide education and support with operationalizing contracts, assist with payor issue resolution and departmental process development.
Qualifications & Requirements
  • Able to organize and prioritize many tasks efficiently combined with the demonstrated ability to be detail oriented.
  • Demonstrated ability to work independently with minimal day-to-day direct instruction.
  • General knowledge of skilled nursing (SNF) claims submission/payment process.
  • 3+ years of experience with MCO/SNF contracting process required, behavioral health contracting not required but preferred.
  • Must have skilled nursing experience, prefer candidate with previous experience as managed care contractor/coordinator, experience with credentialing and contracting adjacent.
  • Bachelors Degree required.
  • Must be fluent with MSOffice Suite - Outlook, Excel, Word.
  • Demonstrated superior communication skills both written and verbal - will be required to make presentations in a professional manner

Benefits
All of our employees are valued and receive a competitive wage; full time team members are also offered a comprehensive benefit package which includes:
  • Medical, Dental, Vision, Life and Disability Insurance
  • Flexible Spending Accounts
  • Tuition Reimbursement & Loan Repayment Programs
  • PerkSpot - Local Deals and Weekly Perks Program
  • 401(k)
  • Vacation/Holiday/Sick Pay Plan
  • Pet Insurance Discount
  • DailyPay option available! Get your pay, when you need it
  • Purchasing Power - online purchase/payroll deduction
  • Tickets at Work - entertainment ticket discounts
  • Employee Assistance Plan - easy-to-use services to help with everyday challenges of life (available for all employees and their families)
  • Helping Friends Foundation - our employees hardship/crisis fund
  • Auto and Home Insurance - employee discount available & payroll deduction

EOE Statement
Drug Free, Smoke-Free work place. Equal Opportunity Employer, including disability/vets

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