Sales Director

The Director of Payor Relations is responsible for developing, managing, and strengthening relationships with commercial and government payors to support the organization's Applied Behavior Analysis (ABA) services. This role focuses on optimizing reimbursement, improving contract performance, and ensuring long‑term payor partnership through data‑driven storytelling, outcomes reporting, and strategic rate negotiations.Office Location: El Segundo, CAPay Range: $115,000 - $130,000 DOE + Bonus PlanKey ResponsibilitiesPayor Relationship ManagementServe as the primary point of contact for assigned payors, maintaining strong, proactive relationshipsConduct regular business reviews and check‑ins with payor representativesIdentify risks to payor relationships and develop mitigation strategiesPartner with internal teams (clinical, revenue cycle, operations) to ensure alignment with payor expectationsDocument and update CRM with payor contacts and activity weeklyReview and update provider portals and directoriesPayor Performance & Outcomes ReportingDevelop and deliver compelling, data‑driven presentations demonstrating clinical outcomes, quality metrics, and value of ABA servicesTranslate clinical and operational data into clear narratives tailored to payor priorities (cost savings, member outcomes, access)Lead quarterly or semi‑annual business reviews with payorsContinuously refine reporting frameworks to strengthen the organization's value propositionRate Strategy & NegotiationIdentify opportunities for rate increases based on performance, market benchmarks, and outcomesPrepare and present rate increase proposals supported by data and financial modelingLead negotiations with payors to improve reimbursement rates and termsTrack and analyze reimbursement trends to inform negotiation strategyContract Retention & GrowthDrive retention of existing payor agreements through proactive engagement and demonstrated valueSupport expansion of services within existing payor relationships (new markets, service lines)Monitor contract performance and escalates issues impacting retentionCross‑Functional CollaborationCollaborate with Revenue Cycle to address denial trends, underpayments, and operational friction pointsPartner with Clinical Leadership to align on outcomes reporting and quality metricsWork with Finance to evaluate financial impact of rate changes and payor mixMarket IntelligenceMonitor industry trends in ABA reimbursement, payor policies, and competitive positioningProvide insights to leadership on payor strategy and risks/opportunitiesKey Performance Indicators (KPIs)Number of payor presentations delivered (monthly/quarterly)Number of rate increase requests submittedAverage reimbursement rate improvement (%)Payor contract retention rate (%)Success rate of rate negotiationsGrowth in revenue tied to rate improvements or strengthened payor relationshipsPayor satisfaction / relationship health (qualitative + survey‑based)QualificationsRequiredBachelor's degree in Healthcare Administration, Business, Finance, or related field5‑10 years of experience in payor relations, managed care, or healthcare contracting (ABA or behavioral health strongly preferred)Demonstrated experience with rate negotiations and payor‑facing presentationsStrong analytical skills with ability to interpret and present clinical and financial dataDeep understanding of reimbursement in ABA and/or behavioral healthPreferredExperience in multi‑state ABA provider organizationsFamiliarity with Medicaid and commercial payor dynamics in autism servicesAdvanced degree (MBA, BHA)Skill & CompetenciesExecutive‑level communication and presentation skillsNegotiation and influencing skillsData storytelling and visualizationStrategic thinking with strong business acumenRelationship management and stakeholder engagementProblem‑solving and cross‑functional collaborationBenefitsCompetitive pay with optional on‑demand paycheck services (pay through DailyPay)401(k) plan with company match after 6 months of employmentPaid personal time offPaid holidaysPaid sick leaveMedical, dental, and vision insuranceOpportunities for career advancementPerformance and promotion raisesFree telehealth: access to a doctor via telehealth for you and your dependents with no limits and no co‑paysFree telehealth mental health: access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co‑paysEmployee assistance program: access to support services (financial, legal, counseling, etc.)Fitness: discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videosDeals: exclusive discounts and savings to 500+ companies and moreTravel: discounts on travel essentials including hotels, rental cars, flights, excursions, and moreLab testing discounts: 10‑80% off costs of routine lab workNew benefits Rx: discounts on prescription medications from 10‑80% at 60,000+ locations nationwideBehavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.#J-18808-Ljbffr