Director, Payer Operations

Director, Payer Operations

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

Your Role

As a Director, Payer Operations with Evergreen Nephrology, you're responsible for leading and executing key business processes to enhance efficiency and effectiveness in managing a diverse portfolio of health plan contracts. This role involves strategic leadership, operational optimization, and cross-functional collaboration to support value-based care initiatives.

Role Responsibilities

This role's primary duties include the following :

Leadership & Execution

• Lead complex operational initiatives including practice rostering and policy development.
• Manage a cross-functional team overseeing contract lifecycle management in collaboration with Strategic Payer Partnerships, Legal, Product, and other departments.
• Drive operational excellence, team productivity, and a strong team culture.

Operations Optimization

Collaboration with Key Stakeholders

Other duties consistent with this role, as assigned.

Required Qualifications

Preferred Qualifications

Compensation

The pay range for this role is $150,000 to $175,000 annually. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.

This role is also eligible for an annual bonus.

Benefits

Evergreen Nephrology's total rewards program is designed to support you in and outside of work. You can expect :

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.