24 Hour Home Care · 14 hours ago
Senior Director, Payor Relations
El Segundo, CA
Full-time
Onsite
Director/Executive
$160K/yr - $200K/yr
7+ years exp24 Hour Home Care is a trusted in-home care company committed to making a positive impact in people's lives every day. The Senior Director of Payor Relations will lead and expand strategic partnerships with payors to support the company's growth and long-term impact across California, focusing on market access, reimbursement structures, and compliance with key programs.
Health CareHome Health Care
Responsibilities
Lead and grow strategic, field-based relationships with payors—including MCOs, the VA, and other funding entities—to position the organization as a proactive, solutions-oriented partner
Influence payor strategy, policy, and program design in collaboration with Government Relations, ensuring 24 Hour Home Care is viewed as a 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), synthesizing insights and effectively influencing outcomes
Serve as the primary escalation point for payor relationship and contract issues, ensuring timely and strategic resolution
Proactively identify and mitigate risks related to payor relationships, contracts, and policy changes
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
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
Company data provided by crunchbase