Senior Director, Payor Contracting - Practice Integration & Transition Support

World Courier; Town of Texas (WI); Hybrid; USD 180,000 - 240,000; Full time

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

The Senior Director of Payor Contracting, Practice Integration & Transition Support leads all payor-facing contracting activity for newly acquired or affiliated practices, ensuring each practice is fully in-network and reimbursed without disruption from day one. This role owns payor negotiation during the critical first 90–180 days after close, while managing the broader operational handoffs needed to fold a new practice into the organization's managed care infrastructure.This is a hybrid strategic-operational role: part payor negotiator, part project manager, part relationship lead.**Primary Responsibilities****Payor Contracting & Negotiation*** Determine the appropriate enterprise contracting strategy for each new practice — tuck-in (rolled into an existing pillar contract), pillar (maintained as a standalone anchor agreement), or de novo (newly negotiated from scratch) — based on markets, payor mix, and existing network agreements* Lead negotiation of new and amended payor agreements (commercial, Medicare Advantage, Medicaid MCO) for newly acquired practices, targeting favorable reimbursement rates and terms* Analyze existing fee schedules and reimbursement terms at acquired practices to identify rate gaps, renegotiation opportunities, and risk exposure before and after close* Maintain a payor contract library and tracking system for effective dates, renewal terms, fee schedules, and termination/renegotiation clauses across all practices* Partner with inside and outside counsel on contract language, risk terms, and reimbursement modeling**Contracting Data Management & Communication*** Responsible for initial build and vetting of payor contracting profiles against pre-close inventory; serves as main point of contact for RCA teams on said profiles* Builds out project plan and trackers to monitor and execute diligence and related timelines* Ensures current fee schedules are accessible to RCA teams to promote rate visibility and compliance**Transition & Integration Support*** Own the payor-related workstream of the integration playbook: pre-close contract assessment, day-one network readiness, and post-close rate reconciliation* Serve as the primary point of contact between the new practice and internal teams (revenue cycle, finance, IT) on all payor-related matters* Drive cross-departmental collaboration and execution with RCM and Operations to ensure timely credentialing and uninterrupted patient access during the transition* Build and manage payor contracting timelines, identifying risks and dependencies before they become blockers* Lead onboarding conversations with practice owners and billing staff to explain new payor relationships, fee schedules, and claims submission processes* Track integration milestones and report payor readiness status to leadership, flagging issues early**Relationship Management*** Serve as a trusted advisor to newly acquired practice owners on payor strategy during a period of significant change* Maintain and grow relationships with key payor representatives to support faster contracting and issue resolution* Build repeatable frameworks, templates, and checklists that make each subsequent practice's payor contracting faster and more consistent**Team Support*** Supports training of new team member as needed* Works collaboratively with Payor team to evaluate, refine, and track return on investment of internal workflows, external/vendor relationships, etc.* Helps support ad-hoc payor projects as needed* Required Travel – Up to 20%**Education and Work Experience*** Bachelor's degree required* 5+ years of experience in payor contracting, managed care, or provider network management* Direct experience negotiating commercial, Medicare Advantage, and/or Medicaid MCO contracts* Prior experience supporting multi-site healthcare practice acquisitions strongly preferred* Strong contract negotiation and fee schedule analysis skills **Skills and Knowledge** * Demonstrated project management ability across cross-functional teams* Excellent interpersonal skills; able to build trust quickly with new partners under stressful conditions and help them adapt to change* Familiarity with healthcare regulatory frameworks (Stark Law, Anti-Kickback Statute, corporate practice of medicine) a plus* Comfortable with ambiguity and fast-changing priorities typical of a growth-stage or acquisitive organization* Ability to communicate effectively both orally and in writing.* Strong interpersonal skills.* Strong leadership and presentation skills.* Strong organizational skills with attention to detail.* Knowledge of data analysis and data mining tools, including data warehouses and Microsoft Excel. **What Success Looks Like*** Accurate and complete payor contracting inventories; effective payor contracting transition; strong working relationships with internal and external stakeholders* Ongoing risk assessment with clear communication to RCA leadership and related stakeholders* New practices are fully contracted and in-network with all relevant payors within target timelines* Minimal claims or revenue disruption during expected payor transitions* A continuously improving, well-documented payor contracting project plan and playbook