Executive Director, Payer Relations
Confidential
Executive Director, Payer Relations
About the Company
Large cancer research & treatment center
Industry
Hospital & Health Care
Type
Non Profit
Founded
1898
Employees
1001-5000
Categories
- Clinical Trials
- Health Care
- Hospital
- Medicine
Specialties
- cancer research
- cancer prevention
- cancer education
- and cancer care
About the Role
The Company is seeking an Executive Director for Payer Relations to join their mission of advancing patient care and healthcare innovation. The successful candidate will be a strategic leader with a strong background in payer contracting, managed care operations, and healthcare finance. This role is pivotal in ensuring that patients have access to the care they need while also supporting the financial sustainability of the organization. The Executive Director will be responsible for developing and executing the company's payer strategy, leading complex contract negotiations, and guiding a high-performing team. Collaboration with various leaders across the organization is essential to shape payer strategy, advance value-based care initiatives, and ensure compliance with regulatory requirements. Applicants for the Executive Director position should have a Master's degree with at least 8 years' of experience or a Bachelor's degree with at least 10 years' of experience in a related field. The ideal candidate will have a proven track record in leading high-value payer negotiations, expertise in reimbursement methodologies, and a strong understanding of the healthcare regulatory and managed care landscape, particularly within the New York State environment. The role requires a leader with excellent communication and relationship-building skills, the ability to influence stakeholders at all levels, and a talent for driving change management efforts. A background in value-based care models, risk-based contracting, and alternative payment approaches is highly valued, as is experience with financial modeling and business intelligence tools.
Hiring Manager Title
Vice President, Payer Relations
Functions
- Strategy
- Operations
- ...Vice President of Payer Relations About the Company Mission-driven pediatric therapy provider serving children with complex behavioral... ...a Vice President of Payer Relations to serve as the senior executive interface with Medicaid and commercial payers across all service...SuggestedContract work
$131.5k - $303.2k
...at a time. CVS Caremark is seeking an Executive Director, Regulatory Management, Network Standards... ...audits, investigations, and compliance-related initiatives. Partner with Legal,... ...Qualifications PBM, pharmacy benefit, healthcare payer, retail pharmacy, healthcare technology...SuggestedHourly payFull timeTemporary workLocal area$117.5k - $222.99k
...strategy and commercialization for assigned payer products and offerings. This role... ...Marketing, Client Services, Finance, Sales, and Executive Leadership, you will guide product... ...in Business, Healthcare, Technology, or a related field; advanced degree preferred.5-8+ years...SuggestedFull timeWork experience placementRemote workFlexible hours- ...Medicaid, and ACO-aligned offerings Develop and execute compliant marketing strategies supporting... ...degree in Marketing, Communications, or related field Minimum of 12 years of progressive... ...supporting ACO or value-based models in payer-provider or integrated delivery systems...Suggested
- Job DescriptionThis employee provides Employee Relations support to the field and Corporate HR, usingindependent judgment in applying Company policies in an equitable manner within the requirements of applicable employment laws and established Company precedent.JOB FUNCTIONSAdvises...SuggestedWork at office
- ...Vice President, External Relations About the Company Mission-driven organization providing outreach learning programs to children in the local community Industry Non-Profit Organization Management Type Non Profit Founded 2013 Employees 11-50...Local areaRemote work
- ...Vice President of Enterprise Sales, Healthcare Data & Analytics, Payers & Pharma About the Company Established healthcare... ...for payers and pharma. This pivotal role involves building and executing the company's enterprise sales strategy from the ground up, with...
- ...Vice President, Association Relations About the Company Internationally-focused membership organization Industry Non-Profit... ..., and enterprise-wide marketing and communications. This executive will be responsible for setting the direction of initiatives that...
- ...Vice President of Payer Sales About the Company Industry-shaping healthcare technology (HealthTech) & software provider Industry... ...thinker, and a results-driven leader with a hands-on, execution-focused approach. Executive gravitas, the ability to travel as...
- ...Vice President, Growth Strategy & Donor Relations About the Company Non-profit organization enhancing economic & social equity Industry Public Policy Type Non Profit Founded 1999 Employees 51-200 Categories Consulting & Professional Services...
- ...Vice President, Clearinghouse & Payer Operations About the Company Recognized data & information services company Industry... ...will be responsible for the strategic leadership and operational execution of clearinghouse and payer-facing transaction services,...
- ...Resources functions. Reporting to the Dean of ASU Law, the Executive Director is a member of the Executive Committee at ASU Law with responsibilities... ...with ASU Law’s senior leadership to enhance achievements relating to student outcomes, reputation, ranking, faculty and staff...Work at office
- ...Chief Clinical Officer(CCO) to join our Executive Leadership Team in Phoenix. 10+ Years of... ...Public Health, Healthcare Administration or Related Field Required (Doctoral Degree Preferred... ...clinical staff Community, Partner, and Payer Engagement Represent Terros Health in community...Contract workWork at office
- Parents of Addicted Loved Ones (PAL) is growing, and we’re looking for an exceptional person to join our team as an Executive & Donor Relations Coordinator. This is a mission-driven role for someone who loves building relationships, creating order from complexity, and...Work at office
- Parents of Addicted Loved Ones (PAL) is seeking an Executive & Donor Relations Coordinator to join our mission-driven team in Phoenix. You will work closely with the CEO to support donor relationships, community partnerships, outreach efforts, and executive operations....
- ...Vice President, Investor Relations & Capital Markets About the Company Leading provider of online diabetes & obesity prevention... ...proactive, externally oriented professional with a high degree of executive presence, and a proven track record of building credibility...
- ...and answer your questions in real time.Job Summary:The Director of Government Relations will represent Progress Residential (“Progress”) by advocating... ...Affairs, the Director will be responsible for executing government relations strategies, influencing key decision...Full timeLocal area
- ...Executive Director of Sales About the Company Healthcare technology company delivering software for managed care and payer workflows. Industry Computer Software Type Privately Held About the Role The Company is seeking an Executive Director of...
- ...with establishing and monitoring KPI and performance benchmarks related to member services and implementation. Applicants for the COO... ...of self-funded plans. A background in benefits administration, payers, or another third-party administrator is essential. The role requires...Remote work
- ...care with the freedom to innovate and highly trained staff to execute your vision. Our leaders are at the forefront of health care transformation... ...settings. Extensive experience with providing legal advice related to physician contracting, medical staff, patient care, facility...Full timeContract workShift work
- ...bargaining agreements. The HRBP will engage closely with union representatives, provide on-site HR support, and facilitate employee relations and investigations. The ideal candidate will have a bachelor’s degree in HR or a related field with significant HR experience in a...
- ...multiple states, including Phoenix, AZ. The role ensures alignment between HR strategy and business objectives, overseeing labor relations, workforce planning, compliance, and talent management. Ideal candidates have 10+ years in manufacturing HR with union experience,...
- Alkermes seeks an Associate Director, Regional Accounts to lead payer strategies and access initiatives across targeted regional plans and providers. The role collaborates with sales, policy, and medical teams to secure coverage and minimize access barriers for Alkermes...
- ...Executive Director, Finance & Business Operations About the Company Prestigious higher education institution Industry Higher Education... ...Director will oversee workforce planning, employee relations, and ensure compliance with employment regulations. Applicants...
$68.96 - $131.63 per hour
...care easier, so life can be better. Our executives are at the forefront of the health care... ...Legal, Managed Care Programs or Public Relations, you'll find many options for contributing... ...highly regulated industry or healthcare (payer, provider, strategy consulting)...Work experience placementFlexible hoursShift work$99k - $232k
...ownership of projects, ensuring their successful planning, budgeting, execution, and completion.Partner with team leadership to ensure... ...preferred- Proven record of success as a team leader- Experience in payer back office operations- Specialization in claims, enrollment,...Full timeH1b- Jobtailor in Arizona is seeking an experienced HR professional to assist managers with employee relations, compensation, and performance management. The role also provides strategic HR guidance and supports leadership on HR issues. The candidate will deliver counsel on...
$175k - $195k
...Connor College of Law seeks an accomplished executive leader to provide strategic oversight of... ...directly to the Dean, the Executive Director serves as a member of the College's Executive... ...to advance institutional goals related to academic excellence, student success,...Full timeWork at office$140k - $210k
Executive Director- Business Development Our Business Development Executive Directors enjoy the ability to leverage contacts across various... ...sharing insights, best practices, and assisting with sales‑related tasks. Reporting and Analytics Monitors and reports on sales...Full timeCasual workWork at officeWork from home- ...Senior Vice President & General Manager, Acute & Payer About the Company Innovative provider of cloud-based software & services... ...is seeking an SVP/GM for its Acute & Payer business unit. This executive will be a key strategic partner to the Chief Revenue Officer,...
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