Senior Director, Payor Contracting - Practice Integration & Transition Support

Mwiah; Town of Texas (WI); Hybrid; USD 180,000 - 230,000; Full time

Job summary

Mwiah is seeking a Senior Director of Payor Contracting, Practice Integration & Transition Support to lead all payor-facing contracting for newly acquired or affiliated practices. You will negotiate payor agreements, manage the integration playbook, and ensure day-one in-network readiness across multiple practices.

The role blends strategic contracting, project management, and relationship leadership with up to 20% travel, supporting a growth-focused healthcare organization.

Qualifications

• Bachelor's degree required in a related field.
• 5+ years in payor contracting, managed care or provider network management.
• Direct experience negotiating commercial, Medicare Advantage and/or Medicaid MCO contracts.
• Experience supporting multi-site healthcare acquisitions preferred.

Responsibilities

• Lead payor contracting and negotiation for new practice acquisitions.
• Determine contracting strategy: tuck-in, pillar, or de novo from scratch.
• Analyze fee schedules and identify rate gaps and renegotiation opportunities.
• Maintain a contract library with effective dates and renewal terms.
• Partner with counsel on contract language and risk terms.
• Own the payor workstream of integration and day-one network readiness.
• Act as primary contact between new practices and internal teams on payor matters.
• Drive cross-departmental collaboration to ensure credentialing and uninterrupted access.

Skills

Payor negotiations

Contract management

Project management

Stakeholder management

Regulatory knowledge

Relationship building

Communication skills

Leadership

Education

Bachelor's degree

Tools

Excel

Data analysis tools

CRM systems

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