Director, Payer Relations

Location: United States; remote role

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model focused on improving outcomes for people living with cancer and other diseases.

What you will do

• Lead PBM contracting strategy, negotiations, and management across the network of oncology practices.
• Ensure assigned contracts meet financial targets and legal and regulatory requirements.
• Monitor PBM industry trends, reimbursement changes, and regulatory developments to identify risks and contracting opportunities.
• Resolve complex payer issues, provide PBM expertise and education to practices, and present on PBM topics at practice-facing meetings.
• Develop payer strategies, value-based care programs, alternative payment models, and external partnerships that support practice revenue.
• Partner with the VP on team goals, budgets, tools, talent needs, performance management, coaching, and professional development.

Requirements

• Bachelor’s degree in business, finance, healthcare administration, or a related field required; a master’s degree is preferred but not required.
• At least 8 years of relevant PBM contracting experience with a hospital, clinic, physician practice, or healthcare system.
• Current industry experience negotiating PBM contracts, including contract terms, reimbursement methodologies, and financial considerations, required.
• At least 5 years of people management experience, preferably including leadership of remote teams.
• Knowledge of healthcare legal and regulatory requirements related to payer contracting and reimbursement.
• Experience developing and executing contracting strategies, evaluating financial impacts, influencing multiple stakeholders, and negotiating contract language.
• In-depth knowledge of Medicare, Medicaid, commercial insurance, PBM operations, drug reimbursement methodologies, and analytics models.
• Proficiency with financial reports and modeling, value-based care program development, conflict resolution, relationship building, strategic problem-solving, and critical thinking.
• Ability to manage multiple complex projects and competing priorities, work with minimal supervision, communicate effectively, and coach and develop team members.
• Ability to travel as needed; attendance is an essential job function.

Nice to have

• Master’s degree.
• Current or previous payer contracting PBM experience.

Culture & Benefits

• Values-driven culture combining startup enthusiasm with support from leaders in oncology, urology, technology, and finance.
• Remote work environment with potential responsibility for building and leading a team as business needs evolve.
• Work focused on supporting independent physicians and improving care for people living with cancer.
• Travel may be required to support business and practice needs.