Director, Payor Relations Job at Ringside Talent, Pleasanton, CA

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  • Ringside Talent
  • Pleasanton, CA

Job Description

We are looking for a Director, Payor Relations to work for our client. The ideal candidate aligns with the responsibilities and qualifications outlined below.

Responsibilities:

  • Develop and maintain strong relationships with key payors, including commercial insurers, Medicare, and Medicaid.
  • Lead contract negotiations to secure favorable terms and reimbursement rates.
  • Monitor and analyze payor performance, trends, and regulatory changes.
  • Collaborate with internal stakeholders (e.g., finance, legal, operations) to align payor strategies with business objectives.
  • Resolve escalated payor issues and support revenue cycle optimization.
  • Identify opportunities for new payor partnerships and strategic growth.

Qualifications:

  • Bachelor’s degree in healthcare administration, business, or a related field (Master’s preferred).
  • 7+ years of experience in payor relations, managed care contracting, or healthcare strategy.
  • Proven success in negotiating complex payor agreements.
  • Strong knowledge of healthcare reimbursement models and regulatory frameworks.
  • Excellent communication, analytical, and leadership skills.

Job Tags

Contract work,

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