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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Director, Payor Contracting - Practice Integration & Transition Support - **Company:** Cencora - **Location:** Raleigh, NC, United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Microsoft Excel, Data Analysis, Data Mining, Data Warehousing, Network Administration, Data Management - **Published:** September 24, 2026 - **Apply:** https://jobs.localjobnetwork.com/apply/add/88423656/1 ## About the Role * Bachelor's degree required * 5+ years of experience in payor contracting, managed care, or provider network management * Direct experience negotiating commercial, Medicare Advantage, and/or Medicaid MCO contracts * Prior experience supporting multi-site healthcare practice acquisitions strongly preferred * Strong contract negotiation and fee schedule analysis skills Skills and Knowledge * Demonstrated project management ability across cross-functional teams * Excellent interpersonal skills; able to build trust quickly with new partners under stressful conditions and help them adapt to change * Familiarity with healthcare regulatory frameworks (Stark Law, Anti-Kickback Statute, corporate practice of medicine) a plus * Comfortable with ambiguity and fast-changing priorities typical of a growth-stage or acquisitive organization * Ability to communicate effectively both orally and in writing. * Strong interpersonal skills. * Strong leadership and presentation skills. * Strong organizational skills with attention to detail. * Knowledge of data analysis and data mining tools, including data warehouses and Microsoft Excel. ## Description 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. Primary 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 owners and billing staff to explain new payor relationships, fee schedules, and claims submission processes * Track integration milestones and report payor readiness status to leadership, flagging issues early Relationship Management * Serve as a trusted advisor to newly acquired practice owners on payor strategy during a period of significant change * Maintain and grow relationships with key payor representatives to support faster contracting and issue resolution * Build repeatable frameworks, templates, and checklists that make each subsequent practice's payor contracting faster and more consistent Team Support * Supports training of new team member as needed * Works collaboratively with Payor team to evaluate, refine, and track return on investment of internal workflows, external/vendor relationships, etc. * Helps support ad-hoc payor projects as needed * Required Travel - Up to 20% ## Related Videos - [Data Science on Software Data](https://www.wearedevelopers.com/videos/162-data-science-on-software-data) - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [In-depth .NET Azure Functions: Isolated mode, performance and durable AI agents](https://www.wearedevelopers.com/videos/100207-in-depth-net-azure-functions-isolated-mode-performance-and-durable-ai-agents) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Recruitment Reinvented: Bold strategies and the $10K signing incentive](https://www.wearedevelopers.com/videos/1068-recruitment-reinvented-bold-strategies-and-the-10k-signing-incentive) - [From Syntax to Singularity: AI’s Impact on Developer Roles](https://www.wearedevelopers.com/videos/900-from-syntax-to-singularity-ai-s-impact-on-developer-roles) ## Related Articles - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [Everything a Developer Needs to Know About MCP with Neo4j](https://www.wearedevelopers.com/magazine/604-everything-a-developer-needs-to-know-about-mcp-with-neo4j) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Frontend Developer Salary in South Africa](https://www.wearedevelopers.com/magazine/234-frontend-developer-salary-in-south-africa) - [Software Developer Salary in South Africa](https://www.wearedevelopers.com/magazine/232-software-developer-salary-in-south-africa)