Hospital Director of Payer Relations

Lucid Staffing Solutions; Nevada (IA); On-site; USD 138,000 - 230,000; Full time

Job summary

Lucid Staffing Solutions seeks a Director of Payer Relations to shape a new function at the intersection of payer strategy and financial performance, driving revenue strategy in collaboration with Finance, Revenue Cycle, and Clinical Leadership.

This executive role partners with payers, negotiates contracts, and analyzes reimbursement to support high-quality patient care while pursuing financial sustainability. The position offers up to $230,000 annually and a comprehensive benefits package.

Qualifications

• Strong payer contracting and reimbursement experience

Responsibilities

• Lead the organization's payer strategy, contract negotiations, and payer performance management.
• Serve as the primary liaison with commercial payers, overseeing rate negotiations and contract lifecycle management.
• Analyze reimbursement methodology and align payer arrangements with value-based care and risk-based models.
• Monitor denial trends and identify opportunities to reduce revenue leakage.
• Lead payer-facing meetings, manage network participation strategy, and deliver executive reporting on payer mix and net revenue performance.

Job description

Join a growing healthcare organization as it builds a newly created executive role at the intersection of payer strategy and financial performance, an opportunity for a results-driven leader to shape a function from the ground up and leave a lasting mark on the organization's revenue strategy.

This opportunity is with an established, growth-oriented healthcare organization recognized for its financial discipline, strong payer partnerships, and commitment to aligning reimbursement strategy with high quality patient care. The organization is investing in this newly created leadership position to strengthen its payer relations function and support long term financial sustainability.

The Director of Payer Relations will lead the organization's overall payer strategy, contract negotiations, and payer performance management. This role serves as the primary liaison with commercial payers, overseeing rate negotiations, contract lifecycle management, and reimbursement methodology analysis. The Director will partner closely with Finance, Revenue Cycle, and Clinical Leadership to align payer arrangements with organizational goals, including value based care and risk based reimbursement models, while monitoring payer performance, addressing denial trends, and identifying opportunities to reduce revenue leakage. This position also leads payer facing meetings, manages network participation strategy, and delivers executive level reporting on payer mix and net revenue performance.

This opportunity is located in a high desert region of the Mountain West known for its year round outdoor recreation, proximity to lakes and mountain terrain, and a lifestyle that appeals to professionals seeking a strong quality of life outside of a larger metropolitan setting. The area offers a lower cost of living with reasonable access to nearby metropolitan centers for those who want both a relaxed pace and modern conveniences.

This role offers a salary of up to $230,000 annually, along with a comprehensive benefits package and the opportunity to build and lead a new function within a stable, forward moving organization. Qualified leaders with strong payer contracting and reimbursement experience who are ready to make a long term impact are encouraged to apply today.