Director of Contracts and Payor Relations at Always Compassionate Health Director of Contracts and Payor Relations at Always Compassionate Health in Glen Head, New York Posted in about 13 hours ago.

Type:

full-time Director of Contracts and Payor Relations

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FULLY ON-SITE IN MELVILLE

5-days/week

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Reports To:

Chief Operating Officer -

BH Supervises:

NA Salary:

$110,000 - $140,000 The Director of Contracting and Network Development is responsible for the growth, negotiation, administration, and ongoing maintenance of all payer agreements across Always Compassionate Health's enterprise-wide service lines. Reporting to executive leadership, this hands-on role drives business development by securing new payer contracts-specifically expanding network participation into Home Infusion, Specialty Pharmacy, Hospice, and County/DSS programs, while actively clearing administrative contract backlogs, managing re-credentialing, and renegotiating existing reimbursement rates.

Essential Duties & Responsibilities:

Business Development & Payer Contracting:

Proactively establish high-level relationships with decision-makers at managed care organizations (MLTCs, commercial health plans, state, county, and federal entities) to negotiate and close new provider contracts enterprise-wide.

Service Line Expansion:

Lead targeted network development for specialized clinical offerings, including Home Infusion, Specialty Pharmacy, Personal Care (LHCSA), and Hospice services.

RFP & Municipal Submissions:

Lead the development, writing, and submission of municipal and county RFPs (including County Department of Social Services / DSS and NYA contract opportunities).

Data-Driven Rate Negotiation:

Analyze utilization metrics, financial data, and reimbursement methodologies to pitch data-backed cases for rate increases and revenue enhancement during contract renewals.

Hands-On Contract Administration & Compliance:

Directly manage the day-to-day lifecycle of all agreements, including clearing administrative backlogs, executing re-credentialing, auditing rate sheets, and ensuring full compliance with state/federal regulations.

Relationship & Dispute Management:

Serve as the primary point of contact for external payer representatives and internal departments (Billing/RCM, Intake) to resolve contract, credentialing, or rate-discrepancy issues.

Performance Reporting:

Monitor contract performance, track renewal timelines, and maintain reporting mechanisms to evaluate overall payer effectiveness.

Qualifications & Requirements:

Education:

Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred.

Experience:

5+ years of hands-on experience in healthcare contracting, managed care, or network development within home health, infusion, pharmacy, or health plan environments.

Negotiation & Business Development Track Record:

Proven ability to build relationships, open doors with health plan leadership, and negotiate favorable reimbursement terms.

Analytical Skills:

Strong financial acumen with the ability to leverage internal metrics and fee schedules during negotiations.

Execution & Detail Focus:

Willingness to be an active, hands-on individual contributor who manages all contract paperwork, re-credentialing, and administrative details directly.

Regulatory Knowledge:

Deep understanding of New York healthcare regulations, managed care principles, and DSS/county procurement processes.

SKILLS & COMPETENCIES

(Focus on both technical and behavioral competencies) Ability to handle multiple tasks. Ability to solve problems. Computer literate in fiscal management and other database programs. Demonstrate trustworthiness and discrete disposition in carrying out regulatory tasks. Excellent written and oral communication skills. Possesses excellent interpersonal skills and ability to work well with others.