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Director of Payer Strategy & Contracting
- Growth Ortho (Tampa, FL)
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Job Title: Director of Payer Strategy & Contracting Location: Remote (with limited travel, approx. 2 4 days/month) Reports To: SVP, Revenue Cycle Organization: Growth Orthopedics National MSO Specializing in Orthopedics and Ambulatory Surgery Centers Position Summary: Growth Orthopedics (GO) is seeking a strategic and experienced Director of Payer Strategy & Contracting to lead enterprise-wide initiatives that optimize payer relationships and reimbursement across our national network of orthopedic practices and ambulatory surgery centers (ASCs). This remote position will play a critical role in maximizing revenue by overseeing payer negotiations, managing reimbursement performance, and aligning strategies with operational and financial objectives. The successful candidate will bring deep experience in payer contracting and a comprehensive understanding of the healthcare revenue cycle, ideally within orthopedic and/or ASC sector. Key Responsibilities: Payer Strategy & Contracting Lead the development, negotiation, and renegotiation of commercial and governmental payer contracts across all GO sites. Collaborate with payer representatives and third-party administrators to establish favorable terms that support enterprise growth. Monitor payer market trends, rate benchmarks, and industry shifts to inform and adapt strategy. Reimbursement Optimization & Dispute Resolution Analyze contract performance and reimbursement trends to identify areas of opportunity and risk. Partner with Revenue Cycle, Finance, and Legal teams to address underpayments, denials, and contract compliance issues. Lead the resolution of payer disputes and oversee appeals or escalations as necessary. Cross-Functional Collaboration Work closely with the Revenue Cycle, Finance, Operations, and Clinical teams to ensure alignment on payer initiatives and revenue goals. Support the integration of newly acquired practices or ASCs into GO s payer strategy framework. Analytics & Performance Monitoring Develop and maintain dashboards or reports to track contract effectiveness, payer behavior, and financial impact. Provide ongoing insights and strategic recommendations to senior leadership based on data analysis. Qualifications: Bachelor s degree in Healthcare Administration, Business, Finance, or related field or equivalent experience, outcomes 5+ years of direct experience in payer contracting and negotiations, with demonstrated success in managing commercial and/or government payer relationships. Broad-based experience in revenue cycle operations, including billing, coding, collections, and denial management. Experience in multi-site healthcare environments, preferably within MSOs, orthopedics, or ASCs. Excellent analytical, negotiation, and communication skills. Self-starter with the ability to lead cross-functional initiatives and manage multiple priorities in a dynamic environment. Additional Details: Work Environment: Fully remote Travel: Limited; expected 2 4 days per month for site visits, payer meetings, or team events About Growth Orthopedics: Growth Orthopedics is a national management services organization dedicated to advancing orthopedic and ambulatory surgical care. We empower providers and practices through centralized services, scalable infrastructure, and strategic partnerships allowing them to focus on what they do best: delivering exceptional patient care.
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