Director of Payer Partnerships

• paid time off
• extended sick leave
• medical, health, dental, and life insurance starting the 1st of the month after hire
• holiday pay including a floating Personal Observance Day
• 401(k) 

Job Tasks:  

• Front-line payer relationship management: Builds and maintains relationships with Network Managers, Provider Relations reps, UM managers, case management leaders, provider              data teams, delegated IPAs/MSOs, and regional plan contacts.  Completes contact maps and develops and/or maintains active front-line relationships across priority California payer        accounts.
• Consultative sales and account development: Applies sales discipline to payer engagement: account planning, prospecting into relevant departments, persuasive value messaging,            follow-up cadence, stakeholder mapping, objection handling, CRM documentation, and referral opportunity tracking. Coordinates payer engagement activities, including education          meetings, site visits, new stakeholder introductions, CRM updates, and clearly documents next steps. 
• Payer education and value positioning: Positions CNS as a solution for high-cost stroke, TBI, and complex neuro cases. Explains how CNS differs from SNF, home health, outpatient            therapy, and standard post-acute options. 
• Access and issue resolution: Identifies barriers related to referral routing, authorizations, network status, provider directories, single-case agreements, claims friction, or payer process       confusion; coordinates the right CNS owner for resolution.  Reduces unresolved payer issues, provider directory/network status problems.  Creates and promotes clearer escalation           paths and faster internal follow-up.
• Cross-functional connection building: Creates direct working connections between payer contacts and CNS Admissions, UR, Contracting, Revenue Cycle, Clinical Leadership,                   Operations, Marketing/BD, and Analytics.
• Market intelligence and reporting: Captures payer feedback, competitor activity, network adequacy concerns, referral trends, staffing changes, process changes, and recurring                  barriers; reports actionable patterns to the Sr. Director of Payer Partnerships and Chief Strategy Officer.
• Increases qualified commercial referrals for stroke, TBI, and complex neuro cases from targeted payer accounts; improved referral-to-admission conversion.  

Job Requirements:  

• Bachelor's Degree, preferably in marketing or communications required. Master’s degree in a related field of study preferred. 
• Minimum of five years in payer relations, provider relations, network management, managed care, business development, admissions, or healthcare account management.
• Commercial health plan experience or direct payer-facing provider experience required.  Experience inside a health plan, IPA/MSO, or delegated medical group preferred. 
• Experience working with both provider and payer organizations is preferred.
• Strong knowledge of authorizations, referrals, network status, provider directories, claims friction, and payer issue resolution required.  Must exhibit confidence engaging payer                   operators without overstepping executive relationship ownership.
• Demonstrated sales/account development discipline, including follow-up cadence, contact mapping, opportunity tracking, and persuasive value messaging required.  Must have                consultative selling skills related to discovery, value framing, stakeholder mapping, objection handling, and disciplined follow-up.
• Must have and demonstrate ability to translate clinical value into payer language of avoiding long-term care costs, functional recovery, complex case management, discharge                     alternatives, and member/family impact.
• California commercial payer relationships, especially Network Management or Provider Relations preferred.

 Apply today!