Payor Relations Director: Outcomes-Driven Negotiator

Jobot

Manhattan Beach (CA)

On-site

USD 110,000 - 140,000

Full time

11 days ago
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Job summary

Jobot is seeking a Director of Payor Relations in Manhattan Beach, CA to lead payor partnerships, use clinical outcomes to demonstrate value, and negotiate stronger reimbursement rates and contract terms. The role is on-site and permanent, with an annual salary range of $110,000 to $140,000.

You will work with clinical, revenue cycle, operations, and finance teams to expand relationships and optimize payor strategy as the organization grows.

Qualifications

  • Bachelor's degree required in healthcare/related field.
  • 5–10 years in payor relations, managed care, or healthcare contracting.
  • Direct experience presenting to payors and negotiating reimbursement rates or contract terms.
  • Ability to analyze clinical and financial data and build a persuasive case for improved rates.
  • Strong understanding of ABA or behavioral health reimbursement.

Responsibilities

  • Serve as the primary contact for assigned payors and lead regular business reviews.
  • Present clinical outcomes, quality, access, and financial data in terms relevant to each payor.
  • Identify rate opportunities; develop data-supported proposals and negotiate improved reimbursement and contract terms.
  • Monitor contract performance, reimbursement trends, and risks to payor retention.
  • Partner with revenue cycle leaders on denials, underpayments, and other issues affecting payor relationships.
  • Work with clinical leadership on outcomes reporting and with finance on rate impact and payor mix.
  • Support expansion within existing payor relationships, including new markets or services.
  • Maintain accurate payor contact and activity records and keep provider portal and directory information current.

Skills

Payor relations experience
Negotiation
Data analysis
Stakeholder communication
ABA/behavioral health knowledge

Education

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
Experience in multi-state ABA provider or Medicaid/commercial payors

Job description

Jobot is seeking a Director of Payor Relations in Manhattan Beach, CA to lead payor partnerships, use clinical outcomes to demonstrate value, and negotiate stronger reimbursement rates and contract terms. The role is on-site and permanent, with an annual salary range of $110,000 to $140,000.

You will work with clinical, revenue cycle, operations, and finance teams to expand relationships and optimize payor strategy as the organization grows.

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