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Director of Payor Strategy
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ExecuSource Southlake, United StatesExecuSource has partnered with a reputable healthcare organization in · Southlake, TX · in the search for a · Director of Payor Strategy & Population Health . Ideally, this candidate will be able to work locally in a hybrid capability but they are open to a fully remote for th ...
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Omnicell, Inc. Grapevine, United StatesSummary · Responsible for driving revenue and referral retention by obtaining and managing OSPS PSAO, PBM contracts and providing access to all possible payors; working with clients to gain access to Specialty Pharmacy Networks; oversight of the Pharmacy Licensing team; and pharm ...
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Director Managed Care
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Director Managed Care
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Director Managed Care
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Infosys Consulting Richardson, United StatesSenior Consultant – Health Insurance/Dental Payor · About the role · Are you a strong analyst that has deep domain expertise in Health Insurance/Dental Payor from working in this industry who loves to be on the cutting edge, solving problems though innovative technology solutions ...
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Infosys Consulting Richardson, United StatesSenior Consultant Health Insurance/Dental Payor · About the role · Are you a strong analyst that has deep domain expertise in Health Insurance/Dental Payor from working in this industry who loves to be on the cutting edge, solving problems though innovative technology solutions ...
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RVP of Business Development
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Care Coordinator RN Outpatient
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Manager Pharmacy Clinical Operations
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care coordinator rn
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Children's Health Dallas, TX , USA, United StatesJob Title & Specialty Area: Care Coordinator Specialty Center · Department: Enterprise Care Managment · Location: Dallas · Shift: Day · Job Type: Onsite · Why Children's Health? · At Children's Health, our mission is to Make Life Better for Children, and we recognize that their h ...
Director of Payor Strategy - Southlake, United States - ExecuSource
Description
ExecuSource has partnered with a reputable healthcare organization in Southlake, TX in the search for a Director of Payor Strategy & Population Health. Ideally, this candidate will be able to work locally in a hybrid capability but they are open to a fully remote for the right candidate.
The Director of Payor, a senior-level role, is accountable for overseeing relationships with insurance payors, negotiating contracts, and reimbursement rates on behalf of healthcare entities. Typically situated within hospitals, healthcare systems, or physician groups, Directors of Payor ensure favorable terms with payors to support organizational financial sustainability. They engage in strategic planning, market trend analysis, and revenue optimization to enhance overall financial performance.
Job Description:
As the Director of Payor Strategy and Population Health, you'll lead managed care rate negotiations and shape our population health management strategy. Building and sustaining strong payor relationships, both remotely and in-person, while effectively articulating our value proposition, will be central to your role. Leveraging your analytical acumen and strategic insight, you'll drive profitability and align with organizational goals.
Key responsibilities:
Negotiating managed care rates
Cultivating relationships
Effective communication
Analytical proficiency
Strategic planning
Population health management
Revenue enhancement
Continuous improvement
Qualifications:
Bachelor's degree in Business, Healthcare Administration, or related field
Minimum 5 years of experience in managed care rate negotiation, payor strategy, or population health management
Proven track record of building and maintaining favorable payor relationships
Exceptional verbal and written communication skills with persuasive abilities
Strong analytical skills, including proficiency in Excel modeling; familiarity with healthcare analytics tools preferred
Strategic mindset with in-depth knowledge of health plan profitability and market dynamics
