Senior Director, Payor Relations

24 Hour Home Care - Corporate Division • El Segundo, CA

7h • $160,000 - $200,000 • Hybrid

About The Position

The Senior Director of Payor Relations will lead and expand strategic partnerships with payors—including MCOs, the VA, and other funding sources—to support 24 Hour Home Care’s growth and long-term impact across California. This is a highly commercial, field-based, customer-facing role requiring strong influence, negotiation, and executive-level communication skills.
This role is accountable for expanding market access, strengthening reimbursement structures, and positioning 24 Hour Home Care as a trusted, high-value partner. By aligning payor relationships with shared priorities, you will help ensure more individuals and communities have access to high-quality, life-enhancing services.
You will work cross-functionally to streamline operations, align services with payor needs, and ensure compliance with key programs including (but not limited to) Medi-Cal, CalAIM, and VA requirements. Your leadership will directly enable sustainable, quality-driven expansion by securing favorable policies, contract terms, and rates that support organizational strategy.

Requirements

• Bachelor’s degree in business, Healthcare Administration, Public Policy, Finance, or related field; Master’s preferred.
• 7+ years of experience in payor relations, managed care contracting, Medicaid/Medicare strategy, or government healthcare programs.
• Deep knowledge of California Medi-Cal and CalAIM programs required, VA program experience strongly preferred
• Proven track record in contract negotiation, payor relationship management, and influencing payor policy or program design.
• Experience collaborating with cross-functional teams (finance, operations, compliance, community development, etc.).
• Demonstrated ability to analyze data and provide strategic recommendations for growth and risk management.
• Experience managing multiple payors or large-scale managed care programs.
• Proficiency with CRM and project management platforms, including Salesforce and tools such as Monday.com, Asana, or Trello.
• Relationship Management & Influence: Ability to build trust and credibility with payors—including MCOs and the VA—regulators, and internal stakeholders.
• Negotiation & Contracting: Skilled in structuring agreements, securing favorable terms, and influencing payor policies.
• Analytical & Strategic Thinking: Able to interpret payor data, uncover insights, and make actionable recommendations to leadership.
• Cross-Functional Leadership: Effectively collaborates with finance, operations, compliance, government relations, strategy, and community development teams.
• Communication & Presentation: Strong verbal and written communication; able to represent the organization in external forums, workgroups, and executive-level discussions.
• Project Management: Ability to manage multiple payor relationships, contracts, and initiatives simultaneously.
• Risk Awareness: Proactively identifies and mitigates financial, operational, and regulatory risks.
• Problem Solving & Decision-Making: Able to respond quickly to emerging payor issues and guide escalation when needed.

Responsibilities

• Lead and grow strategic, field-based relationships with payors—including MCOs, the VA, and other funding entities—to position the organization as a proactive, solutions-oriented partner.
• Influence payor strategy, policy, and program design in collaboration with Government Relations, ensuring 24 Hour Home Care is viewed as a thought partner—not just a provider.
• Represent the organization in external forums, workgroups, governance bodies, and board-level discussions (e.g., Medi-Cal, CalAIM, VA), synthesizing insights and effectively influencing outcomes.
• Serve as the primary escalation point for payor relationship and contract issues, ensuring timely and strategic resolution.
• Proactively identify and mitigate risks related to payor relationships, contracts, and policy changes.
• Negotiate contracts and terms with payors—including MCOs, the VA, and other funding partners—that align with organizational strategy, growth priorities, and sustainability goals.
• Secure reimbursement and partnership structures that support financial sustainability, quality outcomes, and service expansion.
• Partner with finance, compliance, government relations, operations, and community development teams to ensure contracts are financially and operationally viable as well as fully compliant with Medi-Cal, CalAIM, VA, and other ongoing regulatory and policy requirements.
• Drive growth by expanding payor reach and strengthening the organization’s position as a preferred, trusted partner across diverse payor types—including MCOs, the VA, and other funding partners.
• Drive lead generation through key account management with payors, including regular value-driven touchpoints, education, and proactive communication that encourage referrals and utilization of contracted services.
• Create new opportunities for the Community Development team by building relationships and opening doors with payors for program expansion.
• Identify, elevate, and execute on aligned opportunities for partnership, service line, geographic, and funding model expansion in collaboration with Community Supports leadership and TEAM Strategy.
• Leverage data and analytics to monitor payor performance and utilization trends, providing insights to strengthen relationships and support growth initiatives.
• Proactively analyze payor data to identify trends, uncover opportunities, and make actionable recommendations to leadership for strategy, partnership, and growth decisions.
• Act as a cross-functional liaison, translating payor requirements, priorities, and feedback into actionable initiatives to support alignment, compliance, and growth.

Benefits

• We’re proud to offer a competitive package that includes a base salary of $160K–$200K, plus bonus and commission opportunities, a car stipend, and comprehensive benefits designed to support your success and well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Director