Senior Director, Payor Relations

Soleo Health

Senior Director leading national payor contracting and network management strategy at Soleo Health. Focused on reimbursement optimization and strengthening relationships with payors and healthcare partners.

Posted 6/2/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $125,000 - $170,000 per yearWebsite

About the role

Key responsibilities & impact

Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies
Drive the achievement of contracted sales goals and enhance market share and profitability
Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure competitive and sustainable growth
Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and Regional Vice Presidents
Oversee detailed financial analyses of Payor contracts to assess the earnings impact of new contracts, as well as renewals and material network changes
Manage budget projections for pricing and assess financial performance of payor contracts
Ensure Payors are reimbursing Soleo at the contracted rates and that reimbursement is timely
Enhance Soleo’s contracting strategy to maximize value (where applicable) using national contracts with chain codes vs. individually contracted pharmacies
Serve as the primary executive contact for major external partners, including hospitals, Payor organizations, and manufacturers
Build and maintain strategic relationships to bolster business objectives
Oversee the design and implementation of advanced sales training programs that focus on Payor relations, contract comprehension, opportunities, and associated risks
Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded Payor agreements
Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals (i.e., Soleo’s participation in limited payor networks)
Maintain and update the company's strategy in response to healthcare legislation changes
Act as a subject matter expert to guide Payor Relations policies and practices
Manage the creation and ongoing updates of departmental policies to ensure compliance with regulatory, operational, and organizational standards
Partner with Revenue Cycle Management team to defend Soleo’s interests in payor audits
Manage the creation and ongoing updates of departmental policies to ensure compliance with regulatory, operational, and organizational standards
Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning

Requirements

What you’ll need

Bachelor’s degree in a related field such as business administration, economics or finance
Minimum of 10 years in Payor Relations and Contracting including significant leadership experience in complex healthcare environments
High school diploma (or equivalent) required
Advanced degrees such as an MBA or Juris Doctorate preferred
Strong communication, negotiation, and leadership skills
Proven track record of leading high-performing teams and effectively managing senior-level projects and initiatives
Exceptional capability in analyzing complex data, identifying strategic insights, and employing them to improve business performance and operational efficiencies
Expertise in developing and delivering strategies and business plans to a variety of stakeholders, including executive leadership, board members and external partners
Operates effectively and successfully in fast-paced high growth environment
Capable of managing multiple, high-stakes projects in parallel with one another
Willingness and ability to travel extensively, often exceeding 50% of the time, to meet business needs

Benefits

Comp & perks

Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Payor contractingnetwork managementfinancial analysisbudget projectionsperformance-based contractingdata analysisstrategic planningcontract negotiationsales training program developmentcompliance management

Soft Skills

communicationnegotiationleadershipteam managementstrategic relationship buildingconflict resolutionproject managementanalytical thinkingstakeholder engagementadaptability

Certifications

Bachelor's degreeMBAJuris Doctorate