Director, Payor Contracting

Healthcare Outcomes Performance Co. (HOPCo)

. Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers.

Posted 4/21/2026full-timeRemote • Arizona • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers.
Conduct contract analysis and negotiations with Payors on behalf of providers including rates, payment methodologies, contract language and value- based payment programs in accordance with internal control processes for contract review, approval and signature.
Participate in Payor reimbursement analysis that can be routinely updated and maintained as a baseline for strategies to maximize health plan reimbursement.
Research and make recommendations to executive leadership in regard to payor contracting opportunities in new and existing geographic service area.
Ensure compliance in all business and contractual relationships
Identify and communicate trends and/or potential issues to management team.
Other duties and responsibilities as assigned.

Requirements

What you’ll need

Bachelor’s Degree in Business, Finance or Healthcare Administration required.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with payors.
Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs.
Must have prior experience working with managed care contracting modeling.
Must be able to problem solve and come forward with recommendations.
Must be able to stay on task with minimal supervision.
Strong verbal and written communication skills.
Strong organizational skills and careful attention to detail
Advance computer skills.
Knowledge of payor reimbursement.
Managed care contracting.
Market and industry knowledge.
Excellent critical thinking, troubleshooting, and analytical skills.

Benefits

Comp & perks

Normal office environment
Some travel within community

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract analysisnegotiating skillsmanaged care contractingmedical cost trend analysispayor reimbursementcontract languagevalue-based payment programsproblem solvinganalytical skillsutilization analysis

Soft Skills

communication skillsorganizational skillsattention to detailcritical thinkingtroubleshootingrelationship managementrecommendation developmentindependenceteam communicationtrend identification