Senior Director, Payor Contracting - Practice Integration & Transition Support
Myhrabc · Remote
📍 Remote, Texasvia workdayFirst listed here 2026-09-24
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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 aspect
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