Director, Payer Relations

Stellus Rx

Director of Payer Relations at Stellus Rx managing relationships with payors to optimize healthcare reimbursement. Focused on contract negotiations and strategic initiatives to enhance the organization’s financial health.

Posted 4/14/2026full-timeRemote • Texas • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Develop comprehensive strategies to optimize relationships with payors, including negotiating contracts, rates, and terms.
Monitor industry trends, regulatory changes, and competitor activities to inform payor negotiation strategies.
Collaborate with senior leadership to align payor strategies with organizational goals and objectives.
Lead negotiations with payors to secure favorable contract terms, reimbursement rates, and payment methodologies.
Evaluate proposed contracts and amendments to ensure alignment with organizational priorities and financial targets.
Manage contract compliance, including monitoring performance metrics, resolving disputes, and implementing corrective actions when necessary.
Oversee the credentialing and enrollment process for healthcare providers, ensuring timely and accurate submissions to payors.
Maintain up-to-date knowledge of credentialing requirements, regulations, and accreditation standards.
Coordinate with internal departments (e.g., provider relations, revenue cycle) to streamline credentialing workflows and minimize delays.
Collaborate with revenue cycle management teams to identify opportunities for improving billing processes, claims submission, and reimbursement efficiency.
Analyze revenue cycle data and performance metrics to identify trends, root causes of denials, and opportunities for revenue enhancement.
Implement best practices and process improvements to optimize revenue cycle performance and reduce revenue leakage.
Cultivate and maintain strong relationships with key stakeholders at payor organizations, including executives, contracting representatives, and network managers.
Serve as the primary point of contact for payors regarding contract negotiations, issue resolution, and strategic initiatives.
Advocate for the organization's interests while fostering collaborative partnerships with payors to achieve mutual goals.

Requirements

What you’ll need

Bachelor's degree in Healthcare Administration, Business, Finance, or related field (Master's degree preferred).
Extensive experience (5+ years) in healthcare payor relations, contract negotiation, and revenue cycle management.
In-depth knowledge of healthcare reimbursement methodologies, including fee-for-service, value-based reimbursement, capitation, and bundled payments.
Strong analytical skills with the ability to interpret financial data, assess contract performance, and develop actionable insights.
Excellent communication, negotiation, and interpersonal skills, with the ability to influence stakeholders at all levels.
Proven track record of successfully negotiating contracts, resolving complex issues, and achieving measurable results.
Familiarity with healthcare regulations, compliance requirements, and industry standards related to payor contracting and reimbursement.

Benefits

Comp & perks

🌐 Worldwide Post a Job Affiliates ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs Account Stellus Rx Website LinkedIn All Job Openings 201 - 500 employees Founded 2022 💊 Pharmaceuticals ⚕️ Healthcare Insurance 🤝 B2B Pharmaceuticals
Healthcare Insurance
B2B Stellus Rx is a pharmacist-led digital pharmacy and clinical services provider that partners with patients, healthcare providers, employer groups, and risk-bearing entities to improve medication access, adherence, and health outcomes. The company combines personalized pharmacist coaching, medication education, home delivery, packaging, affordability navigation, and data-driven adherence programs (including AI-supported case prioritization) to lower costs and boost quality performance for value-based care and Medicare Advantage plans. Stellus Rx also offers white-labeled, integrated solutions that reduce provider burden and enhance patient experience through coordinated medication management and digital pharmacy services. Director, Payer Relations Job not on LinkedIn 🔥 1 hour ago 🤠 Texas – Remote ⏰ Full Time 🔴 Lead 👔 Director Apply Now Find Hiring Managers Customize resume for this job ☆ Save ☑️ Mark as applied ❌ Hide Report problem 📋 Description
Develop comprehensive strategies to optimize relationships with payors, including negotiating contracts, rates, and terms.
Monitor industry trends, regulatory changes, and competitor activities to inform payor negotiation strategies.
Collaborate with senior leadership to align payor strategies with organizational goals and objectives.
Lead negotiations with payors to secure favorable contract terms, reimbursement rates, and payment methodologies.
Evaluate proposed contracts and amendments to ensure alignment with organizational priorities and financial targets.
Manage contract compliance, including monitoring performance metrics, resolving disputes, and implementing corrective actions when necessary.
Oversee the credentialing and enrollment process for healthcare providers, ensuring timely and accurate submissions to payors.
Maintain up-to-date knowledge of credentialing requirements, regulations, and accreditation standards.
Coordinate with internal departments (e.g., provider relations, revenue cycle) to streamline credentialing workflows and minimize delays.
Collaborate with revenue cycle management teams to identify opportunities for improving billing processes, claims submission, and reimbursement efficiency.
Analyze revenue cycle data and performance metrics to identify trends, root causes of denials, and opportunities for revenue enhancement.
Implement best practices and process improvements to optimize revenue cycle performance and reduce revenue leakage.
Cultivate and maintain strong relationships with key stakeholders at payor organizations, including executives, contracting representatives, and network managers.
Serve as the primary point of contact for payors regarding contract negotiations, issue resolution, and strategic initiatives.
Advocate for the organization's interests while fostering collaborative partnerships with payors to achieve mutual goals. 🎯 Requirements
Bachelor's degree in Healthcare Administration, Business, Finance, or related field (Master's degree preferred).
Extensive experience (5+ years) in healthcare payor relations, contract negotiation, and revenue cycle management.
In-depth knowledge of healthcare reimbursement methodologies, including fee-for-service, value-based reimbursement, capitation, and bundled payments.
Strong analytical skills with the ability to interpret financial data, assess contract performance, and develop actionable insights.
Excellent communication, negotiation, and interpersonal skills, with the ability to influence stakeholders at all levels.
Proven track record of successfully negotiating contracts, resolving complex issues, and achieving measurable results.
Familiarity with healthcare regulations, compliance requirements, and industry standards related to payor contracting and reimbursement. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Director, NA Professional Services PMO 🔥 3 hours ago Iron Mountain 10,000+ employees 🏢 Enterprise ☁️ SaaS 🔐 Security Website LinkedIn All Job Openings Director of Enterprise PMO overseeing complex program execution and delivery at Iron Mountain. Leading a high-performing team while managing large scale initiatives across technology and operations. 🇺🇸 United States – Remote 💵 $187.8k - $250.4k / year ⏰ Full Time 🔴 Lead 👔 Director 🦅 H1B Visa Sponsor Director, IT Portfolio Strategy – Execution 🔥 3 hours ago Cardinal Health 10,000+ employees ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Director accountable for IT portfolio strategy, governance, financial management at Cardinal Health. Leading core responsibilities to support enterprise-level strategic initiatives in technology and business services. 🇺🇸 United States – Remote 💵 $152.1k - $234k / year 💰 $78M Post-IPO Debt on 2006-08 ⏰ Full Time 🔴 Lead 👔 Director 🦅 H1B Visa Sponsor Director, Proposals 🔥 3 hours ago ClinChoice 1001 - 5000 🧬 Biotechnology 💊 Pharmaceuticals ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Director, Proposals leading cross-functional proposal development for a global CRO. Overseeing strategic proposals and budgets while managing multiple key accounts in the CRO industry. 🇺🇸 United States – Remote ⏰ Full Time 🔴 Lead 👔 Director 🦅 H1B Visa Sponsor Product Director – Common Voice 🔥 4 hours ago Mozilla 501 - 1000 👥 B2C 🔒 Cybersecurity Website LinkedIn All Job Openings Product Director managing the Common Voice initiative for Mozilla Foundation. Overseeing product vision, roadmap, and community engagement strategies. 🇺🇸 United States – Remote 💵 $129.6k - $145.6k / year ⏰ Full Time 🔴 Lead 👔 Director 🦅 H1B Visa Sponsor Director of Clinical Strategy 🔥 7 hours ago IMPaCT Care 11 - 50 ⚕️ Healthcare Insurance 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Director of Clinical Strategy at IMPaCT Care, overseeing Community Health Worker programs. Focused on building and scaling effective healthcare delivery systems across United States. 🇺🇸 United States – Remote 💵 $160k - $180k / year ⏰ Full Time 🔴 Lead 👔 Director 🦅 H1B Visa Sponsor View More Director Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

contract negotiationrevenue cycle managementhealthcare reimbursement methodologiesfinancial data analysisperformance metrics evaluationcredentialing process managementbilling process improvementclaims submissioncontract complianceprocess improvement

Soft Skills

analytical skillscommunication skillsnegotiation skillsinterpersonal skillsinfluencing skillscollaborationproblem-solvingrelationship managementleadershipstrategic thinking