Director of Payor Relations

Leoforce; Manhattan Beach (CA); On-site; USD 110,000 - 140,000; Full time

Job summary

Leoforce in Manhattan Beach, CA is seeking a Director of Payor Relations to lead payer relations with commercial and government payors. The role emphasizes presenting outcomes, negotiating reimbursement terms, and expanding coverage through data-driven proposals.

You will partner with clinical, revenue cycle, operations, and finance leaders to protect existing contracts, pursue rate improvements, and grow opportunities across markets while maintaining accurate payor records and directories.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
• 5–10 years of experience in payor relations, managed care, or healthcare contracting.
• Direct experience presenting to payors and negotiating reimbursement rates or contract terms.
• Ability to analyze clinical and financial data and build a persuasive case for improved rates.
• Strong understanding of ABA or behavioral health reimbursement.

Responsibilities

• Serve as the primary contact for assigned payors and lead regular business reviews.
• Present clinical outcomes, quality, access, and financial data in terms relevant to each payor.
• Identify rate opportunities; develop data-supported proposals and negotiate improved reimbursement and contract terms.
• Monitor contract performance, reimbursement trends, and risks to payor retention.
• Partner with revenue cycle leaders on denials, underpayments, and other issues affecting payor relationships.
• Work with clinical leadership on outcomes reporting and with finance on rate impact and payor mix.
• Support expansion within existing payor relationships, including new markets or services.
• Maintain accurate payor contact and activity records and keep provider portal and directory information current.

Skills

Payor relations

Contract negotiation

Data analysis

ABA reimbursement

Education

Bachelor's degree in Healthcare Administration, Business, Finance, or related field

Job description

Director of Payor Relations

Manhattan Beach, CA, US

Job Description

Experience: Manager
Salary: $110,000 - $140,000 per year

Job Details

A growing ABA services organization is hiring a Director of Payor Relations to manage and expand relationships with commercial and government payors. The Director will lead payor business reviews, develop outcomes-based presentations, pursue reimbursement improvements, and protect existing agreements through proactive relationship management.

Responsibilities

• Serve as the primary contact for assigned payors and lead regular business reviews.
• Present clinical outcomes, quality, access, and financial data in terms relevant to each payor.
• Identify rate opportunities; develop data-supported proposals and negotiate improved reimbursement and contract terms.
• Monitor contract performance, reimbursement trends, and risks to payor retention.
• Partner with revenue cycle leaders on denials, underpayments, and other issues affecting payor relationships.
• Work with clinical leadership on outcomes reporting and with finance on rate impact and payor mix.
• Support expansion within existing payor relationships, including new markets or services.
• Maintain accurate payor contact and activity records and keep provider portal and directory information current.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field.
• 5–10 years of experience in payor relations, managed care, or healthcare contracting.
• Direct experience presenting to payors and negotiating reimbursement rates or contract terms.
• Ability to analyze clinical and financial data and build a persuasive case for improved rates.
• Strong understanding of ABA or behavioral health reimbursement.

Experience with a multi-state ABA provider, Medicaid and commercial payors in autism services, or an advanced degree is a plus.

A bit about us:

We are a growing provider of Applied Behavior Analysis (ABA) services dedicated to helping children and families make meaningful progress. Our clinical, operations, and business teams work together to expand access to care, demonstrate strong outcomes, and build lasting partnerships with the payors who support our services.

Why join us?

Own payor relationships and negotiations with a clear connection to financial results.
Build the case for ABA services using clinical outcomes, quality measures, and access data.
Work directly with clinical, revenue cycle, operations, and finance leaders.
Help shape payor strategy as the organization grows into new markets and services.

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