Director of Revenue and Payer Operations

Minimum 5 years in healthcare contracting, strategy, consulting, or payer/provider partnerships Expertise in fee schedules, coding, and reimbursement analysis Strong understanding of Medicaid programs and value-based care models Proven track record managing complex projects and delivering insights to senior leadership Analytical, detail-oriented, and excellent communication skills Ability to move between high-level strategy and hands-on execution

Manage operational tracking for payer contracting, including reimbursement terms, pipeline reporting, and forecasting Conduct fee schedule analyses and advise on coding/reimbursement alignment Build and maintain financial models for rate negotiations and contract performance tracking Support contract implementation and complex contract opportunities Research Medicaid policy and market dynamics for market entry strategy Develop strategic frameworks for growth and advise on payer strategy risks and opportunities Monitor contract performance against metrics and targets Track payments, quality measures, and incentive programs Develop dashboards and reporting for business decisions Act as a business partner for internal teams on payer strategy and operations Undertake special projects to advance payer-facing growth