Senior Director, Healthcare Payer (Healthcare)

TL;DR

Senior Director, Healthcare Payer (Healthcare): Owning the payer ecosystem strategy and contract lifecycle for a DME healthcare organization with an accent on financial optimization and regulatory compliance. Focus on leading negotiations across Medicare, Medicaid, and commercial payers while ensuring long-term financial sustainability.

Location: Hybrid, 2-3 days in office in Pittsburgh - Moon Township

Company

World-leader in assistive communication solutions empowering people with disabilities to express themselves and connect with the world.

What you will do

• Develop and implement comprehensive contracting strategies for payer and provider agreements.
• Lead the negotiation, renewal, and execution of contracts across Medicare, Medicaid, commercial payers, ACOs, and IDNs.
• Establish and maintain strong working relationships with payer partners, network managers, and governmental bodies.
• Monitor and interpret federal and state healthcare regulations affecting DME to advise senior leadership.
• Collaborate with Revenue Cycle, Legal, Compliance, and Finance teams to ensure contract terms are operationally achievable.
• Oversee contracting KPIs, reimbursement outcomes, and payer performance trends.

Requirements

• 10+ years in strategic healthcare contracting, payer relations, or reimbursement (DME experience strongly preferred).
• Deep understanding of Medicare/Medicaid reimbursement structures, managed care, and value-based arrangements.
• Strong knowledge of federal and state regulatory requirements for DME suppliers.
• Demonstrated success in negotiating with national and regional payers.
• Ability to work hybrid (2-3 days in office) in Pittsburgh - Moon Township.
• Willingness to travel up to 15%.

Culture & Benefits

• Mission-driven environment focused on empowering individuals with disabilities.
• Dynamic, global company culture where collaboration is the norm and individuality is welcomed.
• Flexibility to balance professional growth with personal life.
• Commitment to diversity, equality of opportunity, and human dignity.