Director of Payor Contracting

Ivy Rehab • Tampa, FL

7d • Remote

About The Position

At Ivy Rehab, we're "All About the People"! As a Director of Payor Contracting, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient. The Director of Payor Contracting will report to the VP of Payer Contracting & Strategy and will serve as a relationship manager that will provide leadership, direction and ongoing administration and management of Ivy’s payer strategy and contracting. This position has the opportunity to work remotely with up to 10-20% travel required in the field for business meetings.

Requirements

• Bachelor's Degree from an accredited institution preferably in Business Management, Healthcare Administration or equivalent
• Minimum of 10+ years of experience in a payor contracts focused position in large, clinician-based healthcare networks
• Must have 4+ years of management experience, and 10+ years of experience in payor contract negotiations
• Extensive experience working within a heavy managed care environment
• Proven ability to solve complex issues and manage complex business relationships

Responsibilities

• Overseeing payor contract directory activities, including submission of new clinicians and adds / changes to health plans
• Advising the management team on emerging industry trends and methodologies in managed care contracting, payor relations, and legal issues
• Monitoring new CMS requirements and ensures contract meet the requirements
• Formulating and implementing strategies and initiatives for payor contracting strategies that support business growth and maximizing contract performance and yield
• Possessing extensive market intelligence in order to negotiate strong contracts, and handle payor escalations when higher level issues need to be resolved
• Assisting in evaluating new partnerships in collaboration with other functional teams
• Daily oversight of the contracting teams including establishing metrics to measure performance, monitoring of overall quality, determining team priorities, and managing workflows
• Identifying or creating tools, financial modeling systems or other resources to assist with payor contract evaluations
• Ability to analyze complex data sets resulting in payor contract financial modeling
• Creation of executive leadership and board level presentation materials for purposes of defining Ivy’s payor strategy
• Engagement in thorough review of market expansion opportunities during due diligence of potential strategic partners and acquisitions
• Liaison between Ivy operations and Payor partners to remediate payor issues including, but not limited to, claims, credentialing, & authorization

Benefits

• Eligibility for full benefits package beginning within your first month of employment.
• Generous PTO (Paid Time Off) plans and paid holidays.
• Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees