Divisional Director, Payer Relations

Job Functions, Duties, Responsibilities and Position Qualifications

• You are made of leadership material.
• You have proven people skills, an eye for the big picture, and the drive to succeed.
• You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career.

• Join our team of #HealthcareHeroes!
• Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions.
• Quality is in our DNA -- is it in yours?

The Divisional Director, Payer Relations provides strategic leadership and oversight for all managed care and client billing activities across the Sonic Healthcare MidSouth Division.

This position is responsible for developing and executing payer contracting strategies, optimizing reimbursement and revenue opportunities, leading the client billing function, monitoring payer performance, and maintaining strong relationships with managed care organizations and healthcare partners.

The role ensures the effective integration of managed care, billing, revenue cycle, and client service activities to support the Division's financial objectives and operational excellence.

• This opportunity is: Location: Memphis, TN 38134
• Days: Monday-Friday
• Hours: 8am-5pm

In this role, you will

• Develop and maintain strategic relationships with managed care organizations to maximize revenue opportunities and strengthen the Division's market position.
• Lead the negotiation, implementation, renewal, and management of managed care contracts while ensuring compliance with corporate, legal, and regulatory requirements.
• Monitor payer performance, reimbursement trends, and contract profitability, and implement strategies to improve financial outcomes.
• Identify and evaluate new payer opportunities, reimbursement models, and market developments, providing recommendations to Division leadership.
• Serve as the Division's subject matter expert on managed care, payer contracting, reimbursement, and network participation.
• Provide leadership and oversight of the Client Billing team, ensuring accurate invoicing, effective accounts receivable management, timely collections, and exceptional customer service.
• Establish and monitor key performance indicators for billing operations and drive process improvements that enhance efficiency, accuracy, and financial performance.
• Collaborate with Sales, Operations, Finance, Revenue Cycle, and Corporate Managed Care leadership to resolve billing and reimbursement issues while supporting positive client relationships.
• Act as the primary liaison between managed care organizations, physician practices, hospitals, and affiliated healthcare partners regarding contract, reimbursement, and billing matters.
• Provide strategic analysis, reporting, and recommendations to executive leadership while contributing to the Division's short- and long-term business objectives and developing direct reports.
• Perform other duties as assigned.

All you need is

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field required.
• Master's degree preferred.
• Experience leading billing, revenue cycle, accounts receivable, or client accounting functions within a healthcare environment preferred.
• Minimum of five (5) years of progressive experience in managed care, payer contracting, healthcare finance, revenue cycle, billing operations, or health plan administration, including leadership and staff management responsibilities.
• Strong understanding of managed care programs including ACA, ACO, PHO, MSO, HMO, PPO, Medicare, and Medicaid.
• Advanced Microsoft Office skills, particularly Microsoft Excel.
• Strong knowledge of hospital, physician, laboratory, and ancillary reimbursement methodologies.
• Excellent analytical, negotiation, and relationship management skills.
• Ability to communicate complex financial and operational information to executive leadership.
• Ability to work independently and collaboratively across multidisciplinary teams.

We'll give you

• Appreciation for your work
• A feeling of satisfaction that you've helped people
• Opportunity to grow within the organization
• Free lab services for you and your eligible dependents
• Work-life balance, including Paid Time Off and Paid Holidays
• Competitive benefits including medical, dental, and vision insurance
• Help saving for retirement, with a 401(k) that includes a generous company match
• A sense of belonging - we are a community!

We also want you to know

• This role will have incidental exposure to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and expected to abide by all applicable privacy, confidentiality and security standards.
• This policy applies to all terms and conditions of employment, including recruiting, hiring, promotions, transfers, discipline, terminations, wage and salary administration, training, and benefits.
• Scheduled Weekly Hours: 40

Work Shift

Job Category: Laboratory Operations