Executive Director, Payer Relations

Job Summary

A company is looking for an Executive Director, Payer Relations.

Key Responsibilities

• Oversee payer issue resolution, contract performance optimization, and payer scorecard development
• Lead market-level managed care leadership and establish enterprise standards for payer performance oversight
• Provide strategic direction across multiple states, influencing system strategy through managed care operations leadership

Required Qualifications

• Master's degree in Business Administration, Health Administration, Public Health, or Public Administration
• 10+ years in managed care, payer operations, or healthcare contracting
• 7+ years of progressive leadership experience
• Experience managing enterprise payer performance portfolios exceeding $1B in net revenue
• Membership in HFMA and/or ACHE; active in CHA and HASC managed care committees