Executive Director, Payer Strategy & Partnerships

Elwyn; Media (Delaware County); On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

Generous PTO

Medical/Dental/Vision benefits

Earned Wage Access/On-Demand Pay

Tuition Reimbursement

Career Advancement Opportunities

Flexible Schedules

Retirement Savings Plan

Job summary

Elwyn is seeking an Executive Director of Payer Relationships to lead strategic payer initiatives across states, negotiate favorable reimbursement terms, and strengthen executive-level payer partnerships. You will guide contracting, credentialing, and enrollment efforts while aligning payer strategies with Elwyn's growth priorities.

The role demands executive leadership, deep knowledge of Medicaid/MediCare Advantage, and collaboration with Finance, Legal, and Operations to drive revenue and

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Public Health, or related field.
• Master's degree (MBA, MHA, MPH, or related) preferred.
• 10 years of progressively responsible healthcare leadership experience.
• 5+ years leading payer contracting and negotiations.
• Experience with behavioral health reimbursement preferred.
• Strong executive presentation and relationship-building skills.
• Experience supervising professional staff.
• Experience in multi-state healthcare organizations.
• Knowledge of Medicaid Managed Care, Medicare Advantage, commercial insurance, and behavioral health funding.
• Experience with contract lifecycle management software such as IntelAgree.

Responsibilities

• Develop and execute Elwyn's enterprise payer strategy across markets.
• Lead negotiations for new payer agreements and renewals.
• Negotiate reimbursement rates, value-based payment arrangements, and contract language.
• Maintain executive relationships with payer leadership through reviews.
• Monitor payer trends and opportunities for contract expansion.
• Coordinate with Finance, Revenue Cycle, Legal, Ops on negotiations.
• Ensure contracts are routed, reviewed, approved, and executed per policies.
• Oversee credentialing and enrollment activities.
• Provide leadership to Contracting staff and set performance metrics.
• Establish standard contracting workflows and repository integrity.

Skills

Executive leadership

Payer contracting

Contract negotiations

Relationship management

Stakeholder management

Multi-state leadership

Executive presentation

Education

Bachelor's degree in Healthcare Administration or related

Master's degree preferred

Tools

IntelAgree

Job description

Elwyn is seeking an Executive Director of Payer Relationships to lead strategic payer initiatives across states, negotiate favorable reimbursement terms, and strengthen executive-level payer partnerships. You will guide contracting, credentialing, and enrollment efforts while aligning payer strategies with Elwyn's growth priorities.

The role demands executive leadership, deep knowledge of Medicaid/MediCare Advantage, and collaboration with Finance, Legal, and Operations to drive revenue and