Director, Payer Contracts & Partnerships

GI Alliance

Southlake (TX)

On-site

USD 180,000 - 260,000

Full time

2 days ago
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Job summary

GI Alliance seeks a Director of Payer Relations to lead initial negotiations and finalization of payer contracts across multiple geographies. You will shape contracting strategy, manage relationships with payers and providers, and oversee contract execution and training to ensure compliant implementation.

The role requires deep expertise in fee-for-service and value-based models, strong financial acumen, and proven leadership of cross-functional teams in a fast-paced health network.

Qualifications

  • Master’s degree in Healthcare Administration, Business Administration, Economics, or related field.
  • Minimum of ten years progressive experience in contract management, provider contract negotiation, healthcare leadership, and provider relations.
  • Minimum of five years experience in a management role.
  • Knowledge of the payers and providers within the West region (Arizona).
  • Extensive knowledge of complex provider contracting and value-based or alternative payment models.

Responsibilities

  • Directly manages the payer contracting for an assigned geography.
  • Participates and leads in contract negotiations and pricing improvements to drive profitable revenue growth.
  • Demonstrates comprehensive knowledge of providers, healthcare systems, and payers in an assigned geographic area.
  • Maintain updated records and price schedules.
  • Work with health plans and present information to Executive Director of Payer Relations, CEO, CFO, COO, and physician leadership to finalize contract rates.
  • Ensure new contract rates are loaded and claims payments are made correctly according to the contracts.

Skills

Contract management
Provider contract negotiation
Payer relations
Leadership
Financial analysis
Pricing strategy
Communication
Project management

Education

Master’s degree in Healthcare Administration
MBA or MHA preferred

Tools

Microsoft Office

Job description

GI Alliance seeks a Director of Payer Relations to lead initial negotiations and finalization of payer contracts across multiple geographies. You will shape contracting strategy, manage relationships with payers and providers, and oversee contract execution and training to ensure compliant implementation.

The role requires deep expertise in fee-for-service and value-based models, strong financial acumen, and proven leadership of cross-functional teams in a fast-paced health network.

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