Director of Payor Contracting & Strategy
Envision Radiology•Colorado Springs, CO
•$129,960 - $162,450•Remote
About The Position
Envision Radiology is seeking a full time Director of Payor Contracting & Strategy! This position develops and executes comprehensive contracting strategies that enhance reimbursement, strengthen payor relationships, and support the organization's long-term growth objectives. The Director collaborates cross-functionally with Revenue Cycle, Credentialing, Finance, and Operations to ensure contract performance aligns with operational capabilities and financial goals.
Requirements
- Five plus years of relevant payor contracting experience, including and not limited to: Revenue Cycle Management, Payor Contracting, and Medical Billing.
- Working knowledge and understanding of Medicare reimbursement methodologies
- Strong analytical and problem-solving skills across people, process, and technology
- Proficiency in Excel, PowerPoint, Word, Smartsheet, Adobe or similar solutions
- Demonstrated ability to work collaboratively across multiple functions (Revenue Cycle, Credentialing, Payor Contracting)
- Outstanding organizational and communication skills (verbal and written)
- Highly motivated self-starter and team player
- Comfortable navigating ambiguity and driving innovation in a fast-growing environment
- Attention to detail is a must
- Must be organized, with the ability to track many different items at once
- Bachelor’s degree or equivalent
Responsibilities
- Develops and executes comprehensive payor contracting strategies aligned with company financial and operational objectives.
- Leads negotiations with commercial and governmental payors to secure favorable reimbursement terms.
- Conducts financial modeling and scenario analysis to evaluate contract proposals and renewal terms.
- Analyzes contract language, fee schedules, reimbursement methodologies, and performance metrics to ensure optimal outcomes.
- Maintains working knowledge of Medicare and alternative reimbursement methodologies and ensures alignment across commercial contracts.
- Partners closely with Revenue Cycle Management to monitor contract performance, identify underpayments, and drive resolution of payer issues.
- Collaborates with Credentialing and Operations teams to ensure seamless implementation of new and amended contracts.
- Provides executive-level reporting and insights using Tableau, Excel, PowerPoint, and other analytical tools.
- Identifies opportunities for process improvement across people, systems, and technology.
- Creates and maintains guides, SOPs, announcements, and other documentation for impacted departments.
- Performs other duties as assigned.
Benefits
- Health Benefits: Medical/Dental/Vision/Life Insurance
- Company Matched 401k Plan
- Employee Stock Ownership Plan
- Paid Time Off + Paid Holidays
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Director
