[Hiring] Executive Director of Payer Relationships @Elwyn

Role Description

The Executive Director of Payer Relationships serves as Elwyn's senior leader responsible for developing, managing, and expanding strategic relationships with commercial, government, and value-based payers across all operating states. This executive partners closely with organizational leadership to strengthen Elwyn's payer network, negotiate favorable reimbursement agreements, identify new contracting opportunities, and position Elwyn for long-term growth.

This position combines executive relationship management, strategic contracting, reimbursement negotiation, and market expansion while overseeing the operational execution of payer agreements through the organization's contract management processes. The Executive Director serves as the organization's primary liaison with health plans and accountable care organizations, ensuring payer strategies align with Elwyn's strategic growth priorities.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field required.
• Master's degree (MBA, MHA, MPH, or related) preferred.
• Minimum 10 years of progressively responsible healthcare leadership experience.
• Minimum 5 years leading payer contracting and negotiations.
• Demonstrated success negotiating complex commercial and government payer agreements.
• Experience with behavioral health reimbursement preferred.
• Strong executive presentation and relationship-building skills.
• Experience supervising professional staff.
• Experience in multi-state healthcare organizations.
• Knowledge of Medicaid Managed Care, Medicare Advantage, commercial insurance, and behavioral health funding.
• Experience with value-based reimbursement models.
• Experience with contract lifecycle management software such as IntelAgree.

Requirements

• Develop and execute Elwyn's enterprise payer strategy across all markets.
• Identify opportunities to establish relationships with new commercial, Medicaid Managed Care, Medicare Advantage, Behavioral Health Organizations, Accountable Care Organizations (ACOs), and other strategic payer partners.
• Cultivate executive-level relationships with payer leadership.
• Lead negotiations for new payer agreements and contract renewals.
• Negotiate reimbursement rates, value-based payment arrangements, performance incentives, and contract language.
• Analyze reimbursement methodologies and financial impact of proposed agreements.
• Serve as the executive relationship owner for Elwyn's largest payer partners.
• Provide leadership and oversight of the Contracting Coordinator responsible for contract administration.
• Ensure eligible practitioners, programs, facilities, and organizational entities are enrolled with appropriate government and commercial payers.
• Monitor payer market dynamics and competitive reimbursement trends.
• Supervise Contracting staff.

Benefits

• Generous Paid Time Off
• Comprehensive Medical/Dental/Vision Benefit Packages
• Earned Wage Access/On-Demand Pay
• Paid On-the-Job Training
• Tuition Reimbursement
• Career Advancement Opportunities and Growth
• Flexible Schedules
• Retirement Savings Plan

Company Description

For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create real change – helping people lead meaningful, fulfilling lives.

Join us and be a part of something bigger. Apply today.