Director – Ambulatory & Physician PFS
Guidehouse
Senior Director, Payor Strategy and Optimization
Air Methods
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $143,000 - $182,000 per year
Job Level
Senior
About the role
- Serve as a strategic leader for Air Methods’ payer relations and contracting strategy
- Oversee reimbursement structures and manage revenue cycle processes
- Support negotiations with commercial and government payers to improve patient access and revenue performance
- Maintain and refine the payer strategy playbook with actionable initiatives and measurable outcomes
- Collaborate with analytics teams to utilize data in negotiations
- Develop innovative payment models incorporating shared savings and performance-based incentives
- Lead a team of payer compliance specialists
- Work with clinical leadership to improve quality performance and streamline processes
- Coordinate with Legal and Compliance teams to manage disputes
Requirements
- Bachelor’s degree in Finance, Accounting, Business Administration, or related field
- Ten (10) or more years’ related experience and/or training
- Minimum of 10 years of experience in payer contracting within healthcare services, including at least 5 years in a leadership capacity
- Proven success in negotiating complex contracts and managing terms from development through execution
- Expertise in multiple reimbursement structures including fee-for-service, capitation, risk sharing, shared savings, ACOs, and CINs
- Deep knowledge of private payer contracting, coupled with an understanding of government reimbursement dynamics and impacts
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
payer contractingreimbursement structuresrevenue cycle managementnegotiationpayment modelsshared savingsperformance-based incentivescontract managementdata analysis
Soft skills
strategic leadershipcollaborationteam leadershipcommunication
