Strategic Payer Relations Director

Rehab Medical; Indianapolis (IN); On-site; USD 90,000 - 130,000; Full time

Job summary

A leading medical equipment manufacturer in Indianapolis is seeking a Director of Payer Relations. This role involves managing relationships with Medicare, Medicaid, and insurance companies, optimizing contracts, and ensuring accurate claims processing. Candidates should possess a Bachelor's degree, a minimum of 7 years in payer relations, and a strong understanding of medical payer policies. Exceptional analytical and negotiation skills are essential to support the company's growth and strengthen payer coverage across various service lines.

Qualifications

• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred).
• Minimum of 7+ years of experience in payer relations, contracting, or reimbursement within the DME/CRT or healthcare industry.
• Strong knowledge of Medicare, Medicaid, and commercial payer policies, especially as they relate to DMEPOS and CRT.
• Proven experience in payer contract negotiations, rate setting, and dispute resolution.
• Deep understanding of revenue cycle operations including claims submission, denial management, and reimbursement analysis.
• Exceptional relationship management skills with the ability to collaborate across payers, internal teams, and executive leadership.
• Excellent analytical, communication, and negotiation skills.
• Familiarity with HCPCS coding, payer fee schedules, and CMS guidelines.

Responsibilities

• Establish and maintain successful contracting relationships with major payors.
• Lead the negotiation of payer contracts and monitor payer fee schedules.
• Partner with the Revenue Cycle Director to ensure compliant claims submissions.
• Identify and implement process improvements to reduce denials and improve collections.
• Analyze trends in payer behavior to provide insights for company strategy.

Job description

A leading medical equipment manufacturer in Indianapolis is seeking a Director of Payer Relations. This role involves managing relationships with Medicare, Medicaid, and insurance companies, optimizing contracts, and ensuring accurate claims processing. Candidates should possess a Bachelor's degree, a minimum of 7 years in payer relations, and a strong understanding of medical payer policies. Exceptional analytical and negotiation skills are essential to support the company's growth and strengthen payer coverage across various service lines.