Senior Director, Payor Relations

Overview

Who We Are: 24 Hour Home Care is a trusted in-home care company committed to making a positive impact in people\'s lives. For more than 15 years, it has delivered high-quality and personalized caregiving services to people of all ages and individuals with developmental and intellectual disabilities. Today, it provides caregiving services to more than 16,000 clients and employs more than 16,000 caregivers. By putting people first, striving for excellence, and investing in purposeful innovation, 24 Hour Home Care redefines what it means to care. Learn more at

At Team 24, we’re driven by one purpose — to make a real difference in the lives of our clients and families. Watch this short video to see the heart behind our work and the impact our teams create every day.

You Are

You are a passionate and performance-driven team player, eager to take on a key role in our company’s growth. You embody Team 24’s Care & Compete Principles and Competencies.

In the spirit of Own(ing) It With Courage , we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience: 24 Hour Home Care: Glassdoor Page.

Sound interesting? Read on for more details!

The Role

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.

Strategic Partnerships & Influence

• 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.

Contracting & Negotiations

• 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.

Growth Enablement

• 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.

Position Details

• This California-based role involves extensive in-state travel (approximately 80%). Candidates should be based in California and located near a major airport to support frequent travel.
• You’ll spend much of your time out in the field meeting with payor partners, agencies, and community teams, shaping the future of care across California.
• Hybrid position with minimal office requirements, reporting into our El Segundo, CA office just once per quarter.
• Competitive package includes a base salary of $160K–$200K, plus bonus and commission opportunities, a car stipend, and comprehensive benefits.

What You Bring to the Table

Qualifications and Education 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.

Skills

• 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.

What We Bring to the Table

24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion. Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. Additionally, 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.

Qualified applicants with criminal history will be considered for employment in accordance with California Fair Chance Act and the Los Angeles County Fair Chance Ordinance for Employers, ensuring individuals with criminal history have fair and equitable access to opportunities for gainful employment in the unincorporated areas of LA County.

Upon review, should criminal history have a direct, adverse, and negative relationship, 24 Hour Home Care will conduct an Individualized Assessment and provide a Preliminary Notice of Adverse Action; specifying the laws or regulations that impose such restrictions. At which point, 24 Hour Home Care will review the prospective hire’s written response and mitigating circumstances before making a final decision. Should withdrawal of a conditional offer of employment be determined, 24 Hour Home Care will provide a copy of the Second Individualized Assessment.

Individuals have the right to reach out to the LA County Department of Business and Consumer Affairs to file a complaint or if you require additional information.

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For California applicants: by applying for this position, you acknowledge and consent to the collection, use, and disclosure of your personal information in accordance with our privacy policy and the California Consumer Privacy Act (CCPA).

The expected California Pay Range for this position: $160,000 USD - $200,000 USD