Director, Payer Strategy & Contracting – Addison (On-site)

OrthoMed Anesthesia; Addison (TX); Presencial; USD 140.000 - 230.000; Tempo integral

Benefícios oferecidos por esta vaga

Competitive compensation

Health, dental, and vision insurance

401(k) with company contributions

Paid holidays and PTO

Professional development opportunities

Resumo da vaga

OrthoMed Anesthesia in Addison, TX, is seeking a Director of Payer Relations and Contracting to own payer strategy, negotiate contracts, and lead escalation and analytics. This role partners with RCM leadership and the data/engineering teams to optimize reimbursement and compliance with the No Surprises Act.

On-site with regular cross-functional collaboration. The ideal candidate brings 10+ years in payer relations or provider network management in anesthesia, proven negotiation success, and

Qualificações

• Bachelor's degree or equivalent in healthcare admin, finance, business, or related field.
• 10+ years in payer relations, managed care contracting, or provider network mgmt in anesthesia or similar.
• Proven track record negotiating and closing payer agreements through execution.
• Deep knowledge of anesthesia contracts: conversion factors, ASA base units, time units, modifiers.
• Existing relationships with major commercial payers, ideally in Texas.
• Strong negotiation skills and executive presence; data-driven recommendations.

Responsabilidades

• Own payer-by-payer network strategy and participation decisions.
• Lead payer contract negotiations from outreach to execution with leadership-approved terms.
• Coordinate with Legal, Finance, Compliance, Credentialing on contracts and enrollment dates.
• Maintain contract inventory and monitor adherence; pursue variances.
• Define metrics for payer scorecards and analytics; present findings to leadership.
• Serve as internal subject matter expert on payer contracting and policies; collaborate across teams.

Conhecimentos

Payer relations

Contract negotiations

NSA / No Surprises Act

Excel

Power BI

Financial modeling

Executive presence

Communication

Formação

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

MBA / MHA preferred

Ferramentas

PhyGeneSys

Tableau

Sigma

Descrição da vaga

OrthoMed Anesthesia in Addison, TX, is seeking a Director of Payer Relations and Contracting to own payer strategy, negotiate contracts, and lead escalation and analytics. This role partners with RCM leadership and the data/engineering teams to optimize reimbursement and compliance with the No Surprises Act.

On-site with regular cross-functional collaboration. The ideal candidate brings 10+ years in payer relations or provider network management in anesthesia, proven negotiation success, and