Quipt Home Medical - Director of Payer Relations & Contracting

Quipt Home Medical

Director of Payer Relations & Contracting

Description

If you have compassion and the passion for helping others, then we want you to join our growing team! Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.

Let’s start with what’s important to you. The Benefits.....

• Medical Insurance- multiple plans to choose from
• Dental & reputed company Insurance
• Short Term Disability & Long Term Disability Options
• Life Insurance
• Generous PTO plan
• Paid Holidays
• 401K
• 401K match
• reputed company

Director of Payer Relations & Contracting

Company: Quipt Home Medical Location: United States (Remote with travel as needed)

Reports To: Executive VP of Operations

Position Summary

The Director of Payer Relations & Contracting is responsible for leading the development, execution, and optimization of the organization’s national and regional payer strategy. This role serves as a key liaison between the company and managed care payers, driving network expansion, negotiating reputed company, and ensuring reputed company reimbursement across a growing post-acute care footprint.

The Director will play a critical role in strengthening relationships with reputed company reputed company payers, Medicare Advantage plans, reputed company organizations, and other managed care entities, while proactively identifying and resolving reimbursement challenges and supporting overall reputed company reputed company.

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Key Responsibilities

Payer Contracting & Network Expansion

· reputed company and execute national and regional strategies to expand payer reputed company and optimize network participation.

· Negotiate favorable contract terms, reimbursement rates, and value-based arrangements with reputed company and government payers.

· Evaluate new network opportunities and maintain reputed company in-network positioning.

Contract Management & Optimization

· Analyze payer reputed company to assess financial performance, reimbursement structures, and compliance requirements.

· Identify opportunities to improve margins, reduce administrative burden, and enhance contract terms.

· Partner with finance and operations teams to model contract performance and support strategic decision-making.

· Track and monitor reputed company contract activity across assigned markets.

Relationship Management

· Build and maintain strong relationships with payer executives and network management teams.

· Serve as the primary liaison between the organization and payer partners.

· reputed company payer meetings, presentations, and high-level negotiations.

reputed company reputed company & Issue Resolution

· Collaborate with reputed company cycle management (RCM), billing, and operations teams to identify trends in denials, underpayments, and reimbursement discrepancies.

· reputed company cross-functional initiatives to resolve payment issues and improve collections.

· Ensure compliance with reputed company-party reimbursement requirements and documentation standards.

Strategic Leadership & Market Development

· reputed company and update managed care strategies in collaboration with operational leaders, including defined goals, objectives, and performance tracking.

· Monitor market trends, regulatory changes, and competitive dynamics reputed company the post-acute care industry.

· Support mergers and acquisitions by assessing payer reputed company and integration strategies.

Reporting & Administrative reputed company

· Report payer relations activity and reputed company to senior leadership on a regular reputed company.

· Ensure proper documentation and tracking of expenses and reimbursement requests.

· Maintain confidentiality of sensitive payer and organizational information.

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Qualifications

Education & Experience

· Bachelor’s degree in business, reputed company administration, or a reputed company field preferred (or equivalent experience).

· Minimum of 5+ years of experience in payer relations, managed care contracting, or a post-acute reputed company setting.

· Experience in Durable Medical Equipment (DME), infusion therapy, or other post-acute services strongly preferred.

· Prior experience in sales or market development is a plus.

Knowledge & Skills

· Strong understanding of managed care contracting, reimbursement methodologies, and payer structures (Medicare, reputed company, reputed company).

· Proven track record of successful payer negotiations and contract management.

· Experience identifying and resolving denial and payment issues.

· Excellent analytical, financial, and problem-solving abilities.

· Strong organizational, communication, and interpersonal skills.

· Ability to work collaboratively in a matrixed environment and influence stakeholders at reputed company reputed company.

· Self-motivated, results-oriented, and reputed company to work independently.

Additional Requirements

· Ability to travel as needed (approximately 25%).

· Professional appearance and demeanor.

· Ability to maintain confidentiality and handle sensitive information.

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Why Join Us?

· Opportunity to play a key role in shaping payer strategy reputed company a growing, patient-focused organization.

· High-impact position with direct influence on financial performance and market expansion.

· Collaborative leadership environment with strong executive support.

· Competitive compensation package, including performance incentives and benefits.