Senior Director, Healthcare Payer

Why join us

Were on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions we empower our customers to express themselves connect with the world and live richer lives.

At Tobii Dynavox you can grow your career within a dynamic global company that has a clear impactful purpose - with the flexibility to also do what truly matters to you outside of work. Whats more youll be part of a work culture where collaboration is the norm and individuality is welcomed.

As a member of our team youll have the power to make it happen. Youll solve challenges deliver solutions and develop new efficient processes that make a direct impact on our customers lives.

JOB SUMMARY:

This role owns the payer ecosystem strategy and contract lifecycle ensuring that reimbursement agreements are financially optimized operationally executable and fully aligned with regulatory requirements and organizational growth objectives.

The Senior Director Healthcare Payer oversees the growth full lifecycle of payer provider and network contracting for a DME healthcare organization. This leader ensures all contracts support financial sustainability operational efficiency compliance and strategic growth. The role requires deep knowledge of Medicare Medicaid commercial insurance and DMEspecific reimbursement policies. The Senior Director Healthcare Payer drives contract strategy leads negotiations analysis of value of contracts maintains payer relationships and ensures the company remains competitive compliant and positioned for longterm success.

This role often partners closely with funding operations revenue cycle legal compliance and Market senior leadership team

KEY RESPONSIBILITIES:

Contract Strategy & Execution

• Develop and implement a comprehensive contracting strategy for payer and provider agreements.
• Lead negotiation renewal and execution of contracts across Medicare Medicaid Medicaid MCOs Medicare Advantage commercial payers ACOs IDNs and other DME funding channels.
• Conduct financial and strategic analysis of proposed contract terms to ensure strong reimbursement and sustainable margins.
• Develop and implement a comprehensive contracting strategy for payer and provider agreements.
• Lead negotiation renewal and execution of contracts across Medicare Medicaid Medicaid MCOs Medicare Advantage commercial payers ACOs IDNs and other DME funding channels.
• Conduct financial and strategic analysis of proposed contract terms to ensure strong reimbursement and sustainable margins.

Relationship Management

• Establish and maintain strong working relationships with payer partners network managers and governmental bodies.
• Hold payers accountable for contractual obligations rate adherence and performance expectations.
• Serve as the organizations representative in payer discussions escalations and contracting forums.

DME & Healthcare Policy Expertise

• Monitor and interpret federal and state healthcare regulations affecting DME (CMS rules reimbursement changes enrollment requirements fraud/waste/abuse regulations etc.).
• Advise senior leadership on policy shifts affecting reimbursement authorization funding and operational requirements.
• Ensure compliance with DME supplier standards credentialing enrollment processes and payerspecific requirements.

Compliance & Risk Management

• Ensure all contracts comply with federal and state laws including Medicare supplier standards AntiKickback Statute False Claims Act HIPAA Medicaid guidelines and other regulatory frameworks.
• Partner with Legal Compliance and Revenue Cycle teams to mitigate risk and ensure aligned processes.

Revenue Enablement

• Identify new payer participation opportunities and alternative funding pathways aligned with organization growth goals.

CrossFunctional Leadership

• Collaborate with Revenue Cycle Billing & Collections Reimbursement Clinical and Finance teams to ensure contract terms are operationally achievable.
• Support reimbursement programs appeals strategy and payer performance improvement initiatives.
• Provide internal education and support on contract terms payer policies and DME funding pathways.

Data & Performance Management

• Oversee contracting KPIs reimbursement outcomes payer performance trends and operational impacts of contract changes.
• Partner with analytics teams to monitor contract performance and identify areas for optimization.

MINIMUM QUALIFICATIONS:

EDUCATION / EXPERIENCE REQUIREMENTS:

• 10 years in strategic healthcare contracting payer relations or reimbursement (DME strongly preferred).
• Deep understanding of Medicare/Medicaid reimbursement structures managed care feeforservice and valuebased arrangements.
• Strong knowledge of federal/state regulatory requirements for DME suppliers.

OTHER SKILLS/KNOWLEDGE REQUIREMENTS:

• Demonstrated negotiation success with national and regional payers.
• Excellent communication analytical and cross functional leadership skills.
• Ability to interpret complex policy/regulatory documents and translate into business strategy.

WORK ENVIRONMENT REQUIREMENT:

• Hybrid 2-3 days in office
• 15% travel requirement

Apply today!

We believe in empowering individuals - including our own employees - to reach their full potential. So if you want to change lives while growing your own career wed love to hear from you.

Where we stand:

We believe diversity not only enriches our workplace culture but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators better problem solvers and better human beings. Our differences make us stronger.

Tobii Dynavox values equality of opportunity human dignity and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race color sex sexual orientation gender identity religion disability age veteran status ancestry or national or ethnic origin.

Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled