Director of Payor Strategy & Contracting

Therapy Partner Solutions

$110K — $135K *
US-AnywhereRemote in Fernandina Beach, FL
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of managed care contracting experience
  • Proven track record in reimbursement optimization
  • Strong negotiation skills with commercial payors
  • Experience with benchmarking and reimbursement analytics
  • Strategic mindset with the ability to identify growth opportunities
  • Familiarity with ACA regulations and healthcare reimbursement landscape

Responsibilities

  • Lead the development of the company's third-party payor strategy
  • Consolidate and manage payor contracts across states
  • Identify opportunities for reimbursement improvement
  • Negotiate commercial payor agreements and renewals
  • Evaluate participation strategies for low-performing payors
  • Support acquisition integration for contracting and reimbursement
  • Develop reporting and analytics infrastructure for reimbursement

Benefits

  • Medical/Dental/Vision insurance
  • 401K with 50% employer match up to 6% per check
  • Paid holidays and time off
  • Company-paid life insurance
  • Voluntary life insurance options
  • Short and long-term disability options
  • Employee assistance program
Full Job Description
Position: Director of Payor Strategy & Contracting

Location: Southeast U.S. (GA or FL Preferred)

Job Overview & Work Site

This individual will lead the development and execution of the company's overall third-party payor strategy across all markets and regions. The role combines traditional managed care contracting responsibilities with broader strategic oversight related to reimbursement optimization, payor mix management, and long-term network positioning.

Primary responsibilities include:
    • Inventorying, consolidating, and managing payor contracts across multiple states and entities
    • Identifying reimbursement improvement opportunities and leveraging scale across markets
    • Negotiating commercial payor agreements and renewals
    • Evaluating participation strategy for low-performing or administratively burdensome payors
    • Supporting acquisition integration from a contracting and reimbursement perspective
    • Developing reporting, benchmarking, and reimbursement analytics infrastructure
    • Exploring direct-to-employer and alternative contracting opportunities
    • Collaborating closely with operations, revenue cycle, and executive leadership on reimbursement strategy

Expected compensation includes:
  • Competitive base salary generally expected in the range of approximately $110,000 - $135,000, depending on experience and strategic capabilities
  • Annual performance incentive opportunity tied to reimbursement improvement, contracting outcomes, EBITDA impact, and strategic initiatives
  • Long-term growth opportunity within a rapidly scaling healthcare platform

The position is expected to be based in the Southeast U.S., with Georgia or Florida preferred.

Benefits

Benefits for Full-Time Employees include but are not limited to:
  • Medical/Dental/Vision insurance
  • 401K with 50% employer match up to 6% per check
  • Paid holidays
  • Paid time off
  • Company-paid employee life insurance
  • Voluntary life insurance options
  • Short and long-term disability options
  • Employee assistance program


Min

USD $110,000.00/Yr.

Max

USD $135,000.00/Yr.

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