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Director of Payer Relations and Strategic Partnerships
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A Director of Business Development is a highly specialized Business Development Manager. Plans and directs sale of products or services to customers. Coordinates sales distribution. Establishes sales territories, quotas and/or goals for staff, and provides training for sales representatives. Analyzes sales data to monitor customer preferences and develops strategies for increasing sales.
$188,380 / year median in Pennsylvania
+6% projected growth
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Director of Payer Relations and Strategic Partnerships
Mechanicsburg, PA
Posted yesterday
Apply Now Overview The Director of Payer Relations & Strategic Partnerships leads the organization's managed care payer engagementstrategy across inpatient and outpatient rehabilitation service lines. This role serves as the primary external-facing liaisonwith health plans, translating clinical outcomes and utilization data into a compelling value narrative that supportscontract negotiations, network positioning, and new business development. The Director also leads the evaluation anddevelopment of managed-care joint-venture partnerships and other strategic initiatives. Responsibilities Payer Relations & Strategy Serve as primary relationship owner for assigned payer accounts across inpatient and outpatient rehab lines Build and maintain trusted relationships with payer medical directors, network management, and contracting teams Represent the organization's outcomes, quality, and value story in payer meetings, QBRs, and negotiations Data Analysis & Outcomes Reporting Analyze payer claims data, utilization trends, denial patterns, and outcomes metrics to identify contractingopportunities and risks Partner with clinical/quality teams to package outcomes data (functional gains, readmission rates, length of stay,patient satisfaction) into payer-facing narratives for Joint Operating Committee (JOC) presentations Track contract performance against negotiated terms and market benchmarks Contracting Support Support rate negotiations and contract language review in partnership with legal/finance Model financial impact of proposed contract terms Monitor competitor and market contracting trends Strategic Growth & Partnerships Lead due diligence and relationship development for new joint venture opportunities Support Clinically Integrated Network (CIN) development and payer-facing value-based contracting initiatives Manage special projects as assigned by senior leadership (new market entry, service line expansion, payer RFPs) Qualifications Bachelor's degree required; MBA, MHA, or related graduate degree preferred 5-8+ years in managed care, payer contracting, or healthcare business development, ideally in rehab, post-acute, or related service lines Strong data analysis skills Demonstrated success building payer relationships and negotiating contracts Excellent written/verbal communication and executive presence