Jobs · North Carolina

Senior Director, Payor Contracting - Practice Integration & Transition Support

Cencora · North Carolina, United States · 1 mo ago
Full-time

About the role

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!

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.

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

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