Payor Contracts & Practice Integration Director

World Courier

Town of Texas (WI)

Hybrid

USD 180,000 - 240,000

Full time

5 days ago
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Job summary

World Courier seeks a Senior Director of Payor Contracting, Practice Integration & Transition Support to lead payor-facing contracting for newly acquired or affiliated practices. This hybrid role combines negotiation, project management, and relationship leadership to ensure day-one network readiness and uninterrupted access as practices join the network.

You will determine contracting strategy, negotiate commercial, Medicare Advantage, and Medicaid MCO agreements, and manage integration

Qualifications

  • Bachelor's degree required with advanced understanding of payor contracting and managed care.
  • 5+ years of experience in payor contracting or provider network management.
  • Experience negotiating commercial, Medicare Advantage, or Medicaid MCO contracts.

Responsibilities

  • Determine enterprise contracting strategy for each new practice (tuck-in, pillar, de novo) based on markets and network agreements.
  • Lead negotiation of payor agreements for newly acquired practices to secure favorable terms.
  • Analyze fee schedules to identify rate gaps and renegotiation opportunities before/after close.
  • Maintain a contracting library and tracking system for effective dates and renewal terms.
  • Own the payor workstream of integration, ensuring day-one network readiness and post-close rate reconciliation.

Skills

Project management
Negotiation
Relationship building
Cross-functional leadership
Communication

Education

Bachelor's degree

Tools

Microsoft Excel
Data analysis tools

Job description

World Courier seeks a Senior Director of Payor Contracting, Practice Integration & Transition Support to lead payor-facing contracting for newly acquired or affiliated practices. This hybrid role combines negotiation, project management, and relationship leadership to ensure day-one network readiness and uninterrupted access as practices join the network.

You will determine contracting strategy, negotiate commercial, Medicare Advantage, and Medicaid MCO agreements, and manage integration

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