Payor Strategy Lead
$120,000–$150,000 year
On-site · San Diego, California, United States
Job Summary
Lead Payor strategy within assigned geography for skilled nursing operations; oversee MCR/SGR teams; develop reimbursement models and negotiate contracts with payors, Medicare value-based programs, and partnerships with hospitals/physician groups. Act as a liaison with Operations and MCR/SGR resources to identify opportunities, address root causes, and coordinate solutions. Design and deliver presentations and training materials; serves as a subject matter expert on local, regional, and national Payor environments and strategic partnerships. Applies knowledge of skilled nursing and assisted living billing, collections, accounting, and audit practices to inform rate setting and incentive negotiations. Lead data-driven decision-making, perform root cause and trend analyses, and manage recruiting, onboarding, training, coaching, and performance development for MCR/SGR teams. Requires travel up to 70% within the U.S. to locations served and participation in state/national healthcare associations when opportunities arise.
Required Qualifications
- Bachelor’s degree in a healthcare, finance, or business-related field
- Minimum of 5 years of relevant financial and management experience, including multi-site leadership
- Experience in skilled nursing facility management preferred (e.g., Executive Director, Director of Therapy Services, Director of Nursing, Regional Revenue Strategist, AR or Managed Care Specialist)
- Travel up to 70% within the U.S. to deliver leadership and service (travel requirement)
- Proficiency with Microsoft Office Suite (Excel, Word, Power BI) and contract management software
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