Senior Director, Payor Contracting – Practice Integration, Transition Support

🔥 13 hours ago

🌲 North Carolina, Texas – Remote

🌲 North Carolina – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cencora

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Cencora is a company dedicated to improving the health and well-being of both people and animals globally. Built on the legacy of AmerisourceBergen, Cencora offers a wide range of industry-leading solutions that encompass specialty logistics, warehousing, drug research, clinical development support, and more. They provide commercialization and patient access support and offer wholesale and specialty distribution services. Cencora serves a diverse clientele, including pharmaceutical companies, physician practices, pharmacies, and health systems. The company also extends its services to animal health, managing operations and delivering products for animal pharmaceutical care. With a strong global footprint, Cencora aims to reshape healthcare delivery through innovative products and solutions, striving to create healthier futures for all.

📋 Description

• Determine the enterprise contracting strategy for each new practice: tuck-in, pillar, or de novo • Lead negotiation of new and amended commercial, Medicare Advantage, and Medicaid MCO payor agreements • Analyze fee schedules and reimbursement terms to identify rate gaps, renegotiation opportunities, and risk exposure • Maintain the payor contract library and tracking system • Partner with counsel on contract language, risk terms, and reimbursement modeling • Build and vet payor contracting profiles against pre-close inventory • Create project plans and trackers for diligence and related timelines • Ensure current fee schedules are accessible to RCA teams • Own the payor-related integration workstream, including pre-close assessment, day-one network readiness, and post-close rate reconciliation • Coordinate payor-related matters between acquired practices and revenue cycle, finance, and IT teams • Drive credentialing and uninterrupted patient access during transitions • Manage contracting timelines and identify risks and dependencies • Lead onboarding conversations with practice owners and billing staff • Track integration milestones and report payor readiness to leadership • Advise newly acquired practice owners on payor strategy • Maintain relationships with payor representatives • Develop repeatable contracting frameworks, templates, and checklists • Support team training, workflow and vendor ROI evaluation, and ad-hoc payor projects

🎯 Requirements

• Bachelor's degree required • 5+ years of experience in payor contracting, managed care, or provider network management • Direct experience negotiating commercial, Medicare Advantage, and/or Medicaid MCO contracts • Prior experience supporting multi-site healthcare practice acquisitions strongly preferred • Strong contract negotiation and fee schedule analysis skills • Demonstrated project management ability across cross-functional teams • Excellent interpersonal skills; able to build trust quickly with new partners under stressful conditions and help them adapt to change • Familiarity with healthcare regulatory frameworks (Stark Law, Anti-Kickback Statute, corporate practice of medicine) a plus • Comfortable with ambiguity and fast-changing priorities typical of a growth-stage or acquisitive organization • Ability to communicate effectively both orally and in writing • Strong interpersonal skills • Strong leadership and presentation skills • Strong organizational skills with attention to detail • Knowledge of data analysis and data mining tools, including data warehouses and Microsoft Excel • Required travel up to 20%

🏖️ Benefits

• Medical, dental, and vision care • Backup dependent care • Adoption assistance • Infertility coverage • Family building support • Behavioral health solutions • Paid parental leave • Paid caregiver leave • Training programs • Professional development resources • Mentorship programs • Employee resource groups • Volunteer activities