[Hiring] Director of Payor Relations @Metro Vein Centers

Role Description

The Director of Payor Relations is a senior individual contributor responsible for owning all payor relations and payor strategy activity across an assigned regional market portfolio within Metro Vein Centers’ multi-state, multi-TIN network. This individual is the single point of accountability for every payor relationship, contract, negotiation, and strategic initiative within their region—operating with a high degree of autonomy while staying aligned with enterprise objectives.

• Own the full lifecycle of payor contract management within their region:
• Market research
• Building relationships with payors
• Interpreting contract terms
• Maintaining fee schedules
• Driving renegotiations
• Resolving payor issues
• Translating complex reimbursement requirements into clear operational guidance for Revenue Cycle, Finance, Credentialing, and Operations
• Assess the regional payor landscape, identifying revenue opportunities and risks, and developing the forward-looking plan to grow and protect net revenue across all active and expansion markets as assigned.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; Master’s degree (MBA, MHA) strongly preferred.
• 8+ years of progressive experience in managed care contracting, payor relations, or healthcare revenue cycle within a multi-site or multi-state organization.
• Demonstrated history of managing or leading teams, functions, or cross-functional initiatives in a prior role.
• In-depth knowledge of commercial payor structures, Medicare Advantage, and Medicaid managed care variations across multiple states.
• Strong analytical skills with the ability to interpret reimbursement terms, model contract scenarios, and translate claims data into actionable strategy.
• Proven track record of negotiating and executing complex payor contracts with measurable, positive revenue impact.
• Proficiency with contract modeling tools, RCM systems, and analytics platforms (Tableau or equivalent).
• Excellent communication and relationship-building skills across payor executives, internal leadership, and cross-functional stakeholders.
• Demonstrated ability to manage multiple complex projects across regions with competing priorities and minimal day-to-day oversight.
• Experience in a PE-backed, multi-state healthcare organization, MSO, specialty medical group, or ASC environment.

Requirements

• Serve as the single point of accountability for all payor relationships, contracts, negotiations, and strategic initiatives across an assigned regional portfolio.
• Lead payor contract negotiations across all commercial, Medicare Advantage, and Medicaid managed care plans within the assigned region.
• Maintain a current and comprehensive understanding of the regional payor landscape.
• Build and maintain senior-level relationships with health plan contracting and network management teams.
• Ensure all regional payor contracts, fee schedules, amendments, and provider enrollment statuses are accurate, compliant, and up to date.
• Serve as the regional escalation point for complex payor issues.
• Own the full contract management and modeling function for the region.
• Monitor payor performance, reimbursement trends, and policy changes across the region.
• Conduct regular market reviews across current payor relationships.
• Develop and maintain financial models, benchmarking analyses, and rate impact assessments.
• Develop and execute a regional payor strategy aligned with enterprise growth targets.
• Build and maintain regional dashboards and KPI reporting.
• Identify revenue improvement opportunities within the region.
• Stay current on CMS policy, state-specific regulatory changes, and commercial payor developments.
• Assess the payor landscape in prospective expansion markets.
• Lead payor outreach, contract execution, and enrollment coordination for new market entry.
• Support enterprise-wide payor strategy initiatives as needed.
• Lead cross-functional communication, education, and process standardization.
• Establish and maintain SOPs to support consistent execution.
• Partner with Credentialing and Enrollment to ensure seamless provider participation.
• Communicate regional payor performance, risks, and strategic updates to the VP of Payor Strategy.

Benefits

• Healthy legs. Happier lives.
• Exceptional care begins with an exceptional experience.
• Commitment to compassion, expertise, and trust.
• Values that guide everything we do:
• Patients First, Always
• Stronger Together
• A Can-Do Spirit
• Results That Make a Difference
• Commitment to Growth