Director of Employer & Payor Relations

Hospitality Health ER • Longview, TX

1d

About The Position

Hospitality Health ER (HHER) is seeking a relationship-driven Director of Employer & Payor Relations to connect emergency healthcare with employer-sponsored benefits and insurance networks. This strategic role serves as a trusted resource to corporate HR leaders, benefits administrators, insurance brokers, third-party administrators (TPAs), and regional employers across HHER's Tyler, Longview, and Galveston markets. The position involves approximately 25–35% regional travel and offers a base salary plus quarterly performance incentives.

Working closely with leadership, the Director will strengthen employer relationships, resolve complex billing concerns, explain the value of HHER's emergency care model, and advance conversations about insurance network accessibility. The role also builds collaboration among employers, benefits professionals, and community stakeholders to support access to emergency healthcare.

The successful candidate combines executive-level communication skills, healthcare financial literacy, and the ability to navigate sensitive conversations with professionalism, empathy, and sound judgment. Success is measured by relationship quality, effective issue resolution, strategic engagement, partnership development, and progress toward organizational goals.

Requirements

• At least 3 years of relevant experience in healthcare revenue cycle management, payor relations, employer benefits, TPA account management, insurance brokerage, healthcare contracting, or a closely related field.
• Demonstrated success managing professional relationships with employers, executives, benefits administrators, or healthcare stakeholders.
• Strong understanding of employer-sponsored health plans, insurance reimbursement, claims processes, or healthcare financial operations.
• Exceptional communication, presentation, negotiation, and conflict-resolution skills.
• Ability to handle complex and sensitive situations with professionalism, empathy, and sound judgment.
• Strong analytical skills, including proficiency with Microsoft Excel and business presentations.
• Ability to manage multiple priorities independently while collaborating across departments.
• Willingness and ability to travel regularly throughout HHER's Texas markets.

Nice To Haves

• Experience with self-funded employer health plans, TPAs, or employee benefits brokerage firms.
• Familiarity with emergency department billing, out-of-network reimbursement, and healthcare claims adjudication.
• Working knowledge of ERISA, the No Surprises Act, independent dispute resolution (IDR), and applicable Texas insurance regulations.
• Experience supporting healthcare network development, employer contracting, or direct-to-employer arrangements.
• Established professional relationships within East Texas or Gulf Coast employer and benefits communities.
• Experience presenting healthcare financial data or strategic recommendations to executive audiences.

Responsibilities

• Serve as a primary relationship contact for employer groups, HR executives, benefits directors, brokers, and TPAs across HHER's markets.
• Build employer partnerships through proactive communication, responsiveness, and thoughtful problem-solving.
• Address sensitive employer concerns involving emergency care billing, insurance coverage, and employee experiences.
• Coordinate timely resolutions with internal stakeholders while maintaining transparency and accountability.
• Develop relationships with self-funded employers, benefits consultants, brokers, and plan administrators to advocate for access to HHER emergency services.
• Educate employer groups about network participation, emergency care coverage, and potential direct-to-employer partnerships.
• Support employer-led requests for network expansion and facilitate discussions with insurance carriers and TPAs.
• Collaborate with leadership on initiatives to expand in-network accessibility and reduce barriers for patients.
• Build a coalition of employers and benefits stakeholders focused on improving community healthcare access.
• Partner with revenue cycle and billing leadership to investigate escalated employer and patient concerns.
• Help stakeholders understand explanations of benefits, claim adjudication, reimbursement processes, and coverage considerations.
• Coordinate internal reviews and communicate accurately and promptly about billing disputes.
• Maintain confidentiality and ensure communications and resolutions comply with policies and regulatory requirements.
• Analyze employer utilization trends, emergency care encounters, claims information, and relevant financial metrics.
• Develop presentations demonstrating HHER's value to employer-sponsored health plans.
• Work with leadership to evaluate cost efficiencies, improved care navigation, and reductions in avoidable healthcare expenditures.
• Communicate complex healthcare and financial information clearly and persuasively.
• Establish and maintain engagement with employers, brokers, and benefits professionals in the Tyler, Longview, and Galveston markets.
• Develop a consistent communication and relationship-management strategy across HHER locations.
• Monitor employer satisfaction, escalated issue resolution, partnership development, and network advocacy initiatives.
• Maintain accurate relationship documentation, activity reporting, and progress toward performance objectives.
• Partner with executive leadership to identify opportunities, address barriers, and advance long-term organizational goals.

Benefits

• Base salary plus quarterly performance incentives tied to established goals involving relationship management, issue resolution, strategic engagement, and partnership development.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed