24 Hour Home Care · 2 days ago
Senior Director, Payor Relations
El Segundo, CA
Full-time
Hybrid
Director/Executive
$160K/yr - $200K/yr
7+ years exp24 Hour Home Care is a company focused on improving access to high-quality care. They are seeking a Senior Director of Payor Relations to lead strategic partnerships with payors, negotiate contracts, and drive growth initiatives to expand market access and enhance reimbursement terms.
Health CareHome Health Care
Responsibilities
Lead and strengthen strategic, field-based relationships with payors—including MCOs, the VA, and other funding entities—to position the organization as a proactive, high-value partner committed to improving and expanding access to care
Influence payor strategy, policy, and program design to create favorable conditions for scalable and sustainable growth, working closely with Government Relations to ensure 24 Hour Home Care is positioned as a proactive thought partner—not just a provider
Represent the organization in external forums, workgroups, governance bodies, and board-level discussions (e.g., Medi-Cal, CalAIM, VA) by pre-reviewing key materials, synthesizing insights, and effectively influencing outcomes with a working knowledge of governance and related processes
Serve as the primary point of escalation for payor relationship or contract issues, ensuring concerns are addressed and resolved in a timely, strategic manner
Identify and mitigate risks in payor relationships, contracts, and policy changes, proactively protecting the organization’s financial and strategic position
Negotiate contracts and terms with payors—including MCOs, the VA, and other funding partners—that align with organizational strategy, growth priorities, and sustainability goals
Secure reimbursement and partnership structures that support financial sustainability, quality outcomes, and service expansion
Partner with finance, compliance, government relations, operations, and community development teams to ensure contracts are financially and operationally viable as well as fully compliant with Medi-Cal, CalAIM, VA, and other ongoing regulatory and policy requirements
Drive growth by expanding payor reach and strengthening the organization’s position as a preferred, trusted partner across diverse payor types—including MCOs, the VA, and other funding partners
Drive lead generation through key account management with payors, including regular value-driven touchpoints, education, and proactive communication that encourage referrals and utilization of contracted services
Create new opportunities for the Community Development team by building relationships and opening doors with payors for program expansion
Identify, elevate, and execute on aligned opportunities for partnership, service line, geographic, and funding model expansion in collaboration with Community Supports leadership and TEAM Strategy
Leverage data and analytics to monitor payor performance and utilization trends, providing insights to strengthen relationships and support growth initiatives
Proactively analyze payor data to identify trends, uncover opportunities, and make actionable recommendations to leadership for strategy, partnership, and growth decisions
Act as a cross-functional liaison, translating payor requirements, priorities, and feedback into actionable initiatives to support alignment, compliance, and growth
Qualification
Required
Bachelor's degree in business, Healthcare Administration, Public Policy, Finance, or related field; Master's 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 required, VA program experience strongly preferred
Proven track record in contract negotiation, payor relationship management, and influencing payor policy or program design
Experience collaborating with cross-functional teams (finance, operations, compliance, community development, etc.)
Demonstrated ability to analyze data and provide strategic recommendations for growth and risk management
Experience managing multiple payors or large-scale managed care programs
Proficiency with CRM and project management platforms, including Salesforce and tools such as Monday.com, Asana, or Trello
Ability to build trust and credibility with payors—including MCOs and the VA—regulators, and internal stakeholders
Skilled in structuring agreements, securing favorable terms, and influencing payor policies
Able to interpret payor data, uncover insights, and make actionable recommendations to leadership
Effectively collaborates with finance, operations, compliance, government relations, strategy, and community development teams
Strong verbal and written communication; able to represent the organization in external forums, workgroups, and executive-level discussions
Ability to manage multiple payor relationships, contracts, and initiatives simultaneously
Proactively identifies and mitigates financial, operational, and regulatory risks
Able to respond quickly to emerging payor issues and guide escalation when needed
Preferred
VA program experience strongly preferred
Benefits
Bonus and commission opportunities
A car stipend
Comprehensive benefits designed to support your success and well-being
Company
24 Hour Home Care
One of the largest, most trusted in-home care companies in the nation.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-10-14Acquired
Leadership Team
Ryan Iwamoto
President and Co-Founder
Jacqueline E. Davis ✯ COO, CPA
Chief Financial Officer, CFO | Chief Operations Officer, COO | Vice President, VP | Controller
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