Lead Strategy That Drives Access & Growth: Director of Payor Relations Opportunity!
EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina and one location in South Carolina, we are seeking a Director of Payor Relations to join our team, with the flexibility of a remote work option.
This strategic leader is responsible for integrating and aligning managed care payor strategy with EmergeOrtho’s broader organizational objectives.
The Director of Payor Relations will drive success through revenue generation achieved via managed care contracting, value-based performance, commercial bundled arrangements, and innovative market strategies—while ensuring affordable access, price transparency, and service excellence for our patients and partners.
Why Join EmergeOrtho?
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Flexible Work Model – Remote work option available, with the ability to collaborate across regions
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Strategic Impact – Shape and advance payor strategy that directly influences organizational growth and market positioning
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Collaborative Leadership – Partner with executive leadership and cross-functional teams in a dynamic, growth-driven environment
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Innovation Opportunity – Drive forward-thinking approaches to value-based care, contracting, and reimbursement models
Who Should Apply?
Are you a strategic healthcare leader with deep expertise in managed care and payor relations? Do you excel at negotiating complex contracts, analyzing market opportunities, and driving financial performance?
If you thrive in a fast-paced environment, demonstrate strong business acumen, and are committed to advancing access, affordability, and quality in healthcare, we want you on our team. Step into a leadership role where your expertise will make a measurable impact—apply today!
Qualifications and Experience
- Seven (7) years of progressive leadership experience in large healthcare organizations, payor organizations, and/or integrated healthcare delivery systems
- Seven (7) years of experience in strategic management of healthcare pricing, contract negotiation, and healthcare economics in a complex, multi-regional healthcare practice/system or health insurance environment
- Demonstrated track record of leading complex contract negotiations in support of fee-for-service, value-based, and alternative payment model strategies
- Demonstrated success in leading, implementing, and managing financial performance of payor contracts
- Demonstrated ability to work effectively and to have effectively driven strategic transformation work
- B.S. in Business Administration or related clinical field. Master’s prepared with an MBA or MHA strongly preferred
Demonstrated success in the following
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Ability to exercise a high degree of initiative, judgment, discretion, and decision-making to achieve organization’s mission
- Analyzing situations accurately and taking effective action
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Establishing and maintaining effective working relationships with payors
- Organizing work, delegating, and achieving goals and objectives
- Effective organization and integrations of organizational priorities and deadlines
- Analysis and development of comprehensive measurement reports
- Effective communication and collaboration among physicians, staff, payor relationships, government officials and the public
- Knowledge of relevant health care laws and regulations
- Exceptional organizational, communication, and problem-solving skills
- Ability to make decisions quickly if needed; ability to prioritize multiple competing demands
- Advanced knowledge of Microsoft Office including Excel and PowerPoint
Responsibilities include, but are not limited to the following
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Responsible for strategic and operational integration activities of managed care payor strategy across EmergeOrtho, to include oversight of, and collaboration with, the following managed care functions: payor strategy, value-based contracting strategy, contract management and operations, and commercial bundles
- Implement and monitor success of payor strategies to drive sustainable financial performance
- Develop and maintain enterprise value-based contracting strategies and implementation guardrails that lower total cost of care, improve population health and drive growth & sustainable financial performance
- Oversee managed care contract maintenance, access, and operational management processes and activities
- Monitor, analyze, and provide strategic insights on CMS reimbursement & payment policy changes impacting managed care contracts & payor strategies
- Lead and deliver research, analysis, and payor strategy development activities to support successful strategy execution and merger/acquisition/divestiture transactions
- Demonstrate concrete and relevant revenue linkages between payor contracts, value generation to customers, and objectives
- Lead and advocate for new innovative products, develop business rationale for Medicare Advantage, and other appropriate opportunities
- Maintain professional affiliations and enhance professional development to keep current in the latest health care trends and developments
- Prepare agendas, reports, and presentations for committee, board and shareholder meetings; lead discussions and coordinate any subsequent changes
- Write and respond to a high volume of emails in a prompt manner; place and retrieve many phone calls daily
- Performs other duties as required and assigned by the Manager, including schedule changes and travel to office locations as assigned
From the mountains to the coast, EmergeOrtho is North Carolina’s premier provider, recognized for offering world-class, comprehensive, and compassionate care serving patients with 60 locations in 28 counties. As the largest physician-owned orthopedic practice in the state and the 6th in the country, EmergeOrtho’s medical team includes upwards of 170 highly trained orthopedic specialists and nearly as many advanced practice providers. Our subspecialty orthopedic teams offer advanced expertise in conditions of the bones, muscles, and joints. Providing multiple locations, extensive orthopedic services including therapy, and focusing on continuity of care are among the top priorities of EmergeOrtho. Please visit https://emergeortho.com/careers/ for additional information or to apply directly.
EmergeOrtho, P.A. complies with applicable civil rights laws and does not discriminate based on race, color, religion, national origin, age, sex, gender identity or expression, sexual orientation, pregnancy, childbirth and related conditions, including but not limited to, lactation, disability, veteran status, genetic information, or any other class protected by the state or local law.
We are committed to the core values of Quality, Innovation, Compassion, Community, Education, Integrity, Teamwork, Diversity, and Inclusion. https://emergeortho.com/non-discrimination-notice/
Benefits:
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401(k) Retirement plan
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Health Insurance
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Dental Insurance
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Vision Insurance
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Flexible spending account
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Health savings account
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Paid time off
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Holiday Pay
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Employee Assistance Program
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Life Insurance
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Short Term Disability
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Long Term Disability
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Pet Insurance
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Milestone Bonus Program
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For more information: https://emergeortho.com/jobs-in-healthcare/our-benefits/
Note: Available benefits based on hours worked per week.
