Jobs Companies Cencora Senior Director, Payor Contracting - Practice Integration & Transition Support

À propos de ce poste Senior Director, Payor Contracting - Practice Integration & Transition Support chez Cencora

Cencora · Télétravail · Remote, Texas

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

The Senior Director of Payor Contracting, Practice Integration & Transition Support leads all payor-facing contracting activity for newly acquired or affiliated practices, ensuring each practice is fully in-network and reimbursed without disruption from day one. This role owns payor negotiation during the critical first 90–180 days after close, while managing the broader operational handoffs needed to fold a new practice into the organization's managed care infrastructure.

 

This is a hybrid strategic-operational role: part payor negotiator, part project manager, part relationship lead.

Primary Responsibilities

 

Payor Contracting & Negotiation

  • Determine the appropriate enterprise contracting strategy for each new practice — tuck-in (rolled into an existing pillar contract), pillar (maintained as a standalone anchor agreement), or de novo (newly negotiated from scratch) — based on markets, payor mix, and existing network agreements
  • Lead negotiation of new and amended payor agreements (commercial, Medicare Advantage, Medicaid MCO) for newly acquired practices, targeting favorable reimbursement rates and terms
  • Analyze existing fee schedules and reimbursement terms at acquired practices to identify rate gaps, renegotiation opportunities, and risk exposure before and after close
  • Maintain a payor contract library and tracking system for effective dates, renewal terms, fee schedules, and termination/renegotiation clauses across all practices
  • Partner with inside and outside counsel on contract language, risk terms, and reimbursement modeling

 

Contracting Data Management & Communication

  • Responsible for initial build and vetting of payor contracting profiles against pre-close inventory; serves as main point of contact for RCA teams on said profiles
  • Builds out project plan and trackers to monitor and execute diligence and related timelines
  • Ensures current fee schedules are accessible to RCA teams to promote rate visibility and compliance

 

Transition & Integration Support

  • Own the payor-related workstream of the integration playbook: pre-close contract assessment, day-one network readiness, and post-close rate reconciliation
  • Serve as the primary point of contact between the new practice and internal teams (revenue cycle, finance, IT) on all payor-related matters
  • Drive cross-departmental collaboration and execution with RCM and Operations to ensure timely credentialing and uninterrupted patient access during the transition
  • Build and manage payor contracting timelines, identifying risks and dependencies before they become blockers
  • Lead onboarding conversations with practice owners and billing staff to explain new payor relationships, fee schedules, and claims submission processes
  • Track integration milestones and report payor readiness status to leadership, flagging issues early

 

Relationship Management

  • Serve as a trusted advisor to newly acquired practice owners on payor strategy during a period of significant change
  • Maintain and grow relationships with key payor representatives to support faster contracting and issue resolution
  • Build repeatable frameworks, templates, and checklists that make each subsequent practice's payor contracting faster and more consistent

 

Team Support

  • Supports training of new team member as needed
  • Works collaboratively with Payor team to evaluate, refine, and track return on investment of internal workflows, external/vendor relationships, etc.
  • Helps support ad-hoc payor projects as needed
  • Required Travel – Up to 20%

Education and Work Experience

  • Bachelor's degree required
  • 5+ years of experience in payor contracting, managed care, or provider network management
  • Direct experience negotiating commercial, Medicare Advantage, and/or Medicaid MCO contracts
  • Prior experience supporting multi-site healthcare practice acquisitions strongly preferred
  • Strong contract negotiation and fee schedule analysis skills

Skills and Knowledge


  • Demonstrated project management ability across cross-functional teams
  • Excellent interpersonal skills; able to build trust quickly with new partners under stressful conditions and help them adapt to change
  • Familiarity with healthcare regulatory frameworks (Stark Law, Anti-Kickback Statute, corporate practice of medicine) a plus
  • Comfortable with ambiguity and fast-changing priorities typical of a growth-stage or acquisitive organization
  • Ability to communicate effectively both orally and in writing.
  • Strong interpersonal skills.
  • Strong leadership and presentation skills.
  • Strong organizational skills with attention to detail.
  • Knowledge of data analysis and data mining tools, including data warehouses and Microsoft Excel.

What Success Looks Like

 

  • Accurate and complete payor contracting inventories; effective payor contracting transition; strong working relationships with internal and external stakeholders
  • Ongoing risk assessment with clear communication to RCA leadership and related stakeholders
  • New practices are fully contracted and in-network with all relevant payors within target timelines
  • Minimal claims or revenue disruption during expected payor transitions
  • A continuously improving, well-documented payor contracting project plan and playbook

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies

Affiliated Companies: AmerisourceBergen Services Corporation
Prêt à postuler chez Cencora ?
Postuler chez Cencora

À propos de Cencora

Recruitment scams are on the rise and the intent is to target individuals looking for employment opportunities. To protect yourself, we urge you to be vigilant and follow these guidelines. ​1.) Research the Company: Thoroughly research any company before applying or sharing personal information, check their website, read reviews, and verify their legitimacy. 2.) Be Wary of Unrealistic Promises: Exercise caution If a job posting offers high salaries and minimal qualifications. Legitimate jobs will have realistic expectations and provide detailed job requirements. Jobs at Cencora can be found on Cencora.com/careers 3.) Guard Your Personal Information: Only share sensitive information after vet

Voir tous les emplois chez Cencora →

Emplois similaires

Cencora
Senior Statistical Programmer – CDISC Lead
Cencora
⚡ Postuler tôt WEMEA > Spain > Remote · lieu restreint
● Nouveau 👁 Vu ✓ Postulé il y a 11 h
Cencora
Warehouse Associate
Cencora
⚡ Postuler tôt USA > KY > Louisville > Global... · lieu restreint $48,984–$48,984
● Nouveau 👁 Vu ✓ Postulé il y a 11 h
Cencora
Inventory Clerk - Nights
Cencora
⚡ Postuler tôt Des Moines, WA Sur site $43,400–$67,980
● Nouveau 👁 Vu ✓ Postulé il y a 11 h
Cencora
Transport Administrator
Cencora
⚡ Postuler tôt Birmingham, United Kingdom Sur site £29,785–£29,785
● Nouveau 👁 Vu ✓ Postulé il y a 19 h
Cencora
Returns Operative
Cencora
⚡ Postuler tôt WEMEA > United Kingdom > Allog... Sur site £28,163–£28,163
● Nouveau 👁 Vu ✓ Postulé il y a 19 h
Cencora
Apotekmedarbeider
Cencora
⚡ Postuler tôt NCEE > Norway > Boots apotek H... Sur site
● Nouveau 👁 Vu ✓ Postulé il y a 19 h
Cencora
Apotektekniker
Cencora
⚡ Postuler tôt NCEE > Norway > RISVOLLAN Sur site
● Nouveau 👁 Vu ✓ Postulé il y a 19 h
Cencora
AR Clerk II
Cencora
⚡ Postuler tôt Vilnius, Lithuania Sur site
● Nouveau 👁 Vu ✓ Postulé il y a 1 j
Cencora
Responsable de clientèle en Pharmacie H/F
Cencora
⚡ Postuler tôt Dijon Sur site
● Nouveau 👁 Vu ✓ Postulé il y a 1 j

Inscrivez-vous pour des suggestions adaptées aux emplois que vous ouvrez et aux recherches que vous enregistrez.

Plus d’emplois chez Cencora

Voir tous les emplois chez Cencora →

Postuler maintenant
🤖

Doucement — un instant

JobsRadar a été conçu pour de vraies personnes qui traversent une période difficile dans leur recherche d’emploi — pas pour des requêtes automatisées. Vous cliquez beaucoup trop vite et vous êtes maintenant temporairement bloqué.

Revenez plus tard. Si vous cherchez réellement un emploi, nous sommes de votre côté — agissez simplement comme un être humain.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Prenez une longueur d’avance dans votre recherche d’emploi.

Rejoignez notre canal Telegram pour ce qui vous aide à décrocher le poste — références salariales, le pouls hebdomadaire du marché et les annonces de nouveautés. Pas de spam, que du signal.

Rejoindre le canal — c’est gratuit