Senior Director, Payor Relations

Overview

Who We Are:

24 Hour Home Care is a trusted in-home care company committed to making a positive impact in people s lives. For more than 15 years, it has delivered high-quality and personalized caregiving services to people of all ages and individuals with developmental and intellectual disabilities. Today, it provides caregiving services to more than 16,000 clients and employs more than 16,000 caregivers.

By putting people first, striving for excellence, and investing in purposeful innovation, 24 Hour Home Care redefines what it means to care. Learn more at

At Team 24, we’re driven by one purpose — to make a real difference in the lives of our clients and families. Watch this short video to see the heart behind our work and the impact our teams create every day.

You are a passionate and performance-driven team player, eager to take on a key role in our company’s growth. You embody Team 24’s Care & Compete Principles and Competencies.

In the spirit of Own(ing) It With Courage
, we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience: 24 Hour Home Care:
Glassdoor Page.

Sound interesting? Read on for more details!

The Senior Director of Payor Relations will lead and expand strategic partnerships with payors—including MCOs, the VA, and other funding sources—to support 24 Hour Home Care’s growth and long-term impact across California. This is a highly commercial, field-based, customer-facing role requiring strong influence, negotiation, and executive-level communication skills.

This role is accountable for expanding market access, strengthening reimbursement structures, and positioning 24 Hour Home Care as a trusted, high-value partner. By aligning payor relationships with shared priorities, you will help ensure more individuals and communities have access to high-quality, life-enhancing services.

You will work cross-functionally to streamline operations, align services with payor needs, and ensure compliance with key programs including (but not limited to)
Medi-Cal, CalAIM, and VA requirements. Your leadership will directly enable sustainable, quality-driven expansion by securing favorable policies, contract terms, and rates that support organizational strategy.

• Lead and grow strategic, field-based relationships with payors—including MCOs, the VA, and other funding entities—to position the organization as a proactive, solutions-oriented partner.
• Influence payor strategy, policy, and program design in collaboration with Government Relations, ensuring 24 Hour Home Care is viewed as a thought partner—not just a provider.
• Represent the organization in external forums, work groups, governance bodies, and board-level discussions (e.g., Medi-Cal, CalAIM, VA), synthesizing insights and effectively influencing outcomes.
• Serve as the primary escalation point for payor relationship and contract issues, ensuring timely and strategic resolution.
• Proactively identify and mitigate risks related to payor relationships, contracts, and policy changes.

• Negotiate contracts and terms with payors—including MCOs, the VA, and other funding partners—that align with organizational strategy, growth priorities, and sustainability goals.
• Secure reimbursement and partnership structures that support financial sustainability, quality outcomes, and service expansion.
• Partner with finance, compliance, government relations, operations, and community development teams to ensure contracts are financially and operationally viable as well as fully compliant with Medi-Cal, CalAIM, VA, and other ongoing regulatory and policy requirements.

• Drive growth by expanding payor reach and strengthening the organization’s position as a preferred, trusted partner across diverse payor types—including MCOs, the VA, and other funding partners.
• Drive lead generation through key account management with payors, including regular value-driven touchpoints, education, and proactive communication that encourage referrals and utilization of contracted services.
• Create new opportunities for the…