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Ensign Services · 1 month ago

Payor Strategy Lead

California, United States

Full-time

Hybrid

Mid, Senior Level

$120K/yr - $150K/yr

5+ years exp

Ensign Services is a healthcare operations support company that empowers independent facilities across the U.S. The Payor Strategy Lead is responsible for developing and strengthening reimbursement and contracting relationships, while leading a team to optimize payment models and drive positive clinical and financial outcomes.

Health CareMedicalNursing and Residential CareRehabilitation

Responsibilities

Lead Payor strategy within assigned geography, providing both hands-on system/process oversight and direct supervision of a diverse MCR/SGR team

Act as a proactive liaison with Operations and MCR/SGR resources to identify opportunities, address root causes, and coordinate solutions

Collaborate with interdisciplinary teams and escalate systemic issues to operational leadership as needed

Travel up to 70% within the U.S. to deliver world-class leadership and service. (Travel will be dependent on your physical presence to the locations that you serve)

Actively participate in state and national healthcare associations and subcommittees when opportunities arise

Demonstrates advanced proficiency with Microsoft Office Suite (Excel, Word, Power BI, and Smartsheet), data collection tools, and contract management software

Designs and delivers high-quality presentations and training materials for both internal and external audiences

Serves as a subject matter expert on local, regional, and national Payor environments and strategic partnerships across assigned markets and enterprise-wide initiatives

Possesses deep knowledge of contract negotiation, risk-based arrangements, and incentive program design, and effectively develops team capabilities in Payor analysis and strategic decision-making

Applies comprehensive understanding of skilled nursing and assisted living billing, collections, accounting, and audit practices to inform rate setting and incentive negotiations

Analyzes, interprets, and monitors key financial and operational metrics to identify trends and improvement opportunities

Leads data-driven decision-making for MCR/SGR teams, using analysis to guide strategy and performance across multiple facilities

Translates complex financial data into actionable insights, coaching team members on effective communication with operations, leadership, and interdisciplinary partners

Conducts root cause and trend analyses to proactively address reimbursement shifts and evolving market needs, ensuring alignment with business objectives

Leads and manages the MCR and/or SGR teams, including recruiting, hiring, onboarding, training, coaching, performance evaluation, and professional development

Allocates and directs resources to achieve contract negotiation, partnership, and incentive program goals aligned with key performance indicators (PPD, census, and quality metrics)

Ensures compliance with company policies, regulatory standards, and ethical guidelines, while driving timely implementation of new systems, policies, and processes

Cultivates a high-performance culture through clear expectations, accountability, and the development of leadership skills among direct reports

Performs other duties as assigned, in alignment with Ensign’s Code of Business Conduct and professional standards

Qualification

Payor strategy leadershipContract negotiationFinancial analysisSkilled nursing experienceMicrosoft Office SuiteInnovative thinkingTeam collaborationCommunication skillsLeadership skills

Required

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)

Minimum of 5 years of relevant financial and management experience, including multi-site leadership (preferably in a geographically diverse organization)

Bachelor's degree in a healthcare, finance, or business-related field