Director of Payer Relations

📋 Description

• Own full lifecycle of payer contracts: negotiation, renewal, performance.
• Manage payer fee schedules and chargemaster updates.
• Oversee provider credentialing and payer enrollment.
• Lead plan launches; ensure revenue readiness before go-live.
• Serve as primary payer contact; maintain active payer relationships.
• Analyze payer policy changes; escalate complex issues.

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Finance, Business, or related field
• 7+ years progressive RCM in healthcare; at least 3 in leadership
• Deep hands-on experience in behavioral health payer contracting, fee schedules, and payer relations
• Proven track record negotiating payer contracts and improving reimbursement rates
• Direct ownership of provider credentialing and payer enrollment
• EHR/PM systems proficiency (AdvancedMD preferred); CPT/HCPCS/ICD-10 knowledge

🎁 Benefits

• Hybrid work with 1-2 days/week in LA, NYC, or Denver offices.
• Senior leadership role shaping Marvin's payer strategy.
• Equity options and competitive compensation.