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Payor Contracting Jobs in Kansas (NOW HIRING)

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Payor Contracting information

What is payor contracting?

Payor Contracting refers to the process in healthcare where providers, such as hospitals or physician groups, negotiate agreements with insurance companies or government programs (the payors) regarding reimbursement terms for healthcare services. These contracts specify rates, covered services, payment schedules, and other important terms. Effective payor contracting ensures that healthcare organizations receive fair compensation for the care they provide and helps patients access care through their insurance plans.

What are the key skills and qualifications needed to thrive in payor contracting?

To excel in Payor Contracting, you need strong analytical skills, knowledge of healthcare reimbursement, and experience with contract negotiation, usually supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is typical. Excellent communication, attention to detail, and relationship-building abilities are crucial soft skills for this role. These competencies ensure effective negotiation, compliance, and mutually beneficial agreements between healthcare providers and payors.

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

Professionals in Payor Contracting often encounter challenges such as negotiating favorable reimbursement rates, navigating complex regulatory requirements, and managing multiple contract renewals simultaneously. These can be addressed by staying informed about industry trends, fostering strong relationships with payors, and maintaining meticulous contract documentation. Collaboration with legal, compliance, and finance teams is crucial to ensure all agreements align with organizational goals and regulatory standards, ultimately leading to more successful contract outcomes.

What is the difference between Payor Contracting vs Payor Credentialing?

AspectPayor ContractingPayor Credentialing
Required CredentialsExperience in healthcare contracts, negotiation skillsLicenses, certifications, provider credentials
Work EnvironmentContract negotiations, provider agreementsVerification of provider credentials, compliance
Employer & Industry UsageHealth insurance companies, provider networksHospitals, clinics, insurance payers
Search & Comparison IntentUnderstanding contract processes, negotiationsVerifying provider credentials, compliance standards

Payor Contracting focuses on negotiating and establishing provider agreements with insurance payers, requiring negotiation skills and contract knowledge. Payor Credentialing involves verifying provider credentials and ensuring compliance, emphasizing licensing and certification verification. Both roles are essential in healthcare administration but serve different functions within the payer-provider relationship.

Infographic showing various Payor Contracting job openings in Kansas as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

Director of Regulatory & Quality - Hospice

Graham Healthcare Group

Leawood, KS • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Job description

Job Title
Director of Regulatory & Quality - Hospice
Location
GHG Leawood KS
Additional Location(s)
Employee Type
Employee
Working Hours Per Week
40
Job Description
Compensation: $100,000.00 - $120,000.00.
Hours: Monday - Friday 8AM - 5PM EST or CST
Medical Benefits: Health, Vision & Dental
Retirement: 401K
PTO: 15 Days
At Residential Home Health and Hospice ('Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Home Health Director of Regulatory and Quality will partner with our field staff and leaders to provide the best support to the patients that we serve.
With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path
Director of Regulatory & Quality Responsibilities:
  • Responsible to monitor and plan for improvement for including patient satisfaction, rehospitalization, and clinical outcomes as outlined by CMS, joint-venture, or payor source requirements for contracting
  • Responsible for survey-readiness and plans of correction to meet regulatory requirements that uphold accreditation and licensure
  • Directs and manages team members for survey prep and quality initiative activities
  • Responds to exceptions in performance metrics - clinical outcomes, audit results, compliance directives, and state survey results
  • Serves as a member of the Professional Advisory Committee and/or Governing body.
  • Participates as a member of compliance and policy review committees.
  • Respond to escalations from CMS or state inquiries about patient care.
  • This job description outlines the core priorities of the role and is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Duties may be modified or assigned as needed to meet business needs.

Director of Regulatory & Quality Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Licensed healthcare professional required (e.g., Registered Nurse or Licensed Practical Nurse,) with current, active licensure in good standing.
  • Bachelor's degree required (or equivalent professional credential/experience); Master's degree preferred.
  • Minimum of three (3) years of experience in hospice or a comparable healthcare setting.
  • Minimum of 3 years of leadership experience.
  • Demonstrated success in coaching, mentoring, collaborates effectively within a team and performance management, with the ability to develop and support high-performing teams.
  • Strong ability to delegate effectively and empower team members, promoting accountability and a culture of ownership.
  • Proven leadership with the ability to supervise staff and interact tactfully with teams and the community.
  • Strong business and operational management knowledge.
  • Demonstrates strong leadership, critical thinking, and sound decision-making skills.
  • Communicates effectively both verbally and in writing.
  • Applies sound clinical judgment and problem-solving abilities.
  • Maintains a sense of urgency, responsiveness, and attention to detail.
  • Drives operational efficiency and supports business growth.
  • Accurately documents information and maintains confidentiality.
  • Exhibits professionalism, empathy, tact, organization, and accountability.
  • Proficient in Microsoft Office Suite.

Certificates, Licenses, Registrations
Must have and maintain in good standing professional license, certificate, or registration, as applicable.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.
Comments
This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.
NOTICE:
  • Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
  • By supplying your phone number, you agree to receive communication via phone or text.
  • By submitting your application, you are confirming that you are legally authorized to work in the United States.

Graham Healthcare Group is an Equal Opportunity Employer