Senior Director, Payor Relations
Senior Director, Payor Relations
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Job Description
WHO WE ARE:
24 Hour Home Care is a trusted in-home care company committed to making a positive impact in peoples lives every day. For more than 15 years it has delivered high-quality and personalized caregiving services to people of all ages and individuals with developmental and intellectual disabilities. Today it provides caregiving services to more than 16000 clients and employs more than 16000 caregivers. By putting people first striving for excellence and investing in purposeful innovation 24 Hour Home Care redefines what it means to care. Learn more at.
WHO YOU ARE:
You are apassionate and performance-driventeam player eager to take on a key role in our companys growth. You embody Team 24s Care & Compete Principles and Competencies:
In the spirit ofOwn(ing) It With Courage we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience:24 Hour Home Care: Glassdoor Page
Sound interestingRead on for more details!
THE ROLE:
The Senior Director of Payor Relations leads the organizations strategy for building and strengthening relationships with Managed Care Organizations (MCOs) payors and key partners. This role drives growth through contract negotiations policy influence and strategic partnerships positioning the company as a trusted value-added partner. By aligning payor engagement with organizational goals this leader ensures compliance with Medi-Cal CalAIM VA and other regulatory programs while securing sustainable agreements that expand services and impact statewide.
Primary Responsibilities
Lead and strengthen relationships with MCOs payors and regulators positioning the organization as a top strategic partner.
Negotiate contracts and reimbursement terms that align with organizational priorities financial sustainability and compliance requirements.
Influence payor policy and program design to create favorable conditions for scalable quality-driven growth.
Partner with cross-functional teams to ensure contracts are financially and operationally viable and fully compliant with regulatory standards.
Drive growth by expanding payor reach generating leads and opening new opportunities for program and geographic expansion.
Use data and analytics to monitor payor performance identify trends and make actionable recommendations to leadership.
Serve as the primary escalation point for payor relationship or contract issues ensuring risks are mitigated and concerns resolved strategically.
This role is California-based and ideal for someone located near a major airport as it involves up to 80% in-state travel. Youll be out in the field often meeting with payor partners agencies and community teams helping to shape the future of care across California.
This is a hybrid position reporting into the El Segundo CA office one day per quarter.
WHAT YOU BRING TO THE TABLE:
Skills
Relationship management and influence across MCOs payors regulators and internal stakeholders
Expertise in contract negotiation and structuring favorable agreements
Strategic thinking and analytical ability to interpret payor data and provide insights
Strong cross-functional leadership and collaboration skills
Excellent communication and presentation abilities including executive and external representation
Project management skills to oversee multiple contracts and initiatives simultaneously
Risk awareness problem-solving and decision-making under complex conditions
Qualifications
Bachelors degree in Business Healthcare Administration Public Policy Finance or related field; Masters preferred
7 years of experience in payor relations managed care contracting Medicaid/Medicare strategy or government healthcare programs
Deep knowledge of California Medi-Cal and CalAIM programs; VA program experience strongly preferred
Proven track record in contract negotiation payor relationship management and influencing payor policies or programs
Experience managing multiple payors or large-scale managed care programs
Proficiency with CRM and project management tools (e.g. Salesforce Asana Trello)
WHAT WE BRING TO THE TABLE:
24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion. Individuals seeking employment are considered without regards to race color religion national origin age sex marital status ancestry physical or mental disability veteran status gender identity or sexual orientation. Additionally 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.
Qualified applicants with criminal history will be considered for employment in accordance with California Fair Chance Act and the Los Angeles County Fair Chance Ordinance for Employers ensuring individuals with criminal history have fair and equitable access to opportunities for gainful employment in the unincorporated areas of LA County.
Upon review should criminal history have a direct adverse and negative relationship 24 Hour Home Care will conduct an Individualized Assessment and provide a Preliminary Notice of Adverse Action; specifying the laws or regulations that impose such restrictions. At which point 24 Hour Home Care will review the prospective hires written response and mitigating circumstances before making a final decision. Should withdrawal of a conditional offer of employment be determined 24 Hour Home Care will provide a copy of the Second Individualized Assessment.
Individuals have the right to reach out to the LA County Department of Business and Consumer Affairs to file a complaint or if you require additional information.
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- By Web: Phone:
For California applicants: by applying for this position you acknowledge and consent to the collection use and disclosure of your personal information in accordance with our privacy policy and the California Consumer Privacy Act (CCPA).
Required Experience:
Exec
Employment Type
Full Time
