Director, Payer Performance
About The Position
The Director of Payer Performance leads the strategy, analysis, and optimization of payer reimbursement and contract performance to drive revenue integrity and growth across the health system. The role partners with Finance, Managed Care, Legal, Compliance, and executive leadership, turning complex payer, contractual, financial, and operational data into actionable insights and strategies. The Director oversees payer performance analytics, reimbursement variance reviews, denial management, contract modeling, and revenue leakage identification. The role leads efforts to resolve underpayments, payment discrepancies, and other payer-related issues; supports contract negotiations and renewal strategies; ensures regulatory compliance; and develops a high-performing team focused on payer accountability and improved financial performance.
Requirements
- Bachelor’s degree in healthcare administration, Business Administration, Finance, Accounting, or a related field.
- Five years of healthcare revenue cycle or payer-related experience.
- Three or more years of management or leadership experience in a healthcare or payer environment.
- Experience developing performance dashboards and executive reporting.
- Experience with revenue cycle analytics, business intelligence, or data visualization platforms.
Responsibilities
- Lead the strategy, analysis, and optimization of payer reimbursement and contract performance across the health system.
- Partner with Finance, Managed Care, Legal, Compliance, and executive leadership to translate complex data into actionable insights and strategies.
- Oversee payer performance analytics, reimbursement variance reviews, denial management, contract modeling, and revenue leakage identification.
- Lead efforts to resolve underpayments, payment discrepancies, and other payer-related issues.
- Support contract negotiations and renewal strategies.
- Ensure compliance with regulatory requirements.
- Develop a high-performing team focused on enhancing payer accountability and improving financial performance.
Benefits
- Eligible for annual incentive program.
- Progressive sign-on incentive.
- Comprehensive relocation package.
- Community University leadership training courses.
- Tuition reimbursement, education programs, and scholarships.
- Vacation accrues from Day 1 at the maximum allowable accrual rate.
- 403(b) retirement plan with matching contributions.
- On-demand dining options and free parking and EV charging ordering.
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What This Job Offers
Job Type
Full-time
Career Level
Director
