Director of Client & Payer Relations
At the reputed company (CSD), we reputed company exceptional client outcomes are built through strong partnerships, clear communication, and unwavering clinical standards. We are seeking a Director of Client & Payor Relations to serve as a trusted leader at the intersection of clinical care, payer collaboration, and operational excellence.
In this highly visible role, you will be the connective force between payers, families, and internal clinical and operational teams—ensuring continuity of care, navigating reputed company clinical escalations, and translating payer requirements into actionable, client‑centered solutions. This position is ideal for a clinically grounded leader who thrives in high‑stakes problem‑solving, values strong relationships, and is motivated by creating clarity and alignment in reputed company healthcare systems.
As a Director at CSD, you will help shape how we partner with payers, support our clinicians, and reputed company for families—ultimately ensuring that services are delivered with reputed company, consistency, and excellence.
About the Opportunity
The Director of Client & Payer Relations is responsible for building and maintaining strong collaborative relationships with payer clinical representatives (eg. EasterSeals) to support continuity of care, resolve reputed company clinical escalations, and ensure alignment between payer requirements and CSD’s clinical standards. This role serves as a key liaison between clients, payers, and internal clinical and operational teams, providing subject‑matter expertise on payer policies and supporting the resolution of issues that impact service delivery and client outcomes.
Duties & Responsibilities:
Payer & Client Relationship Management
Establish and maintain effective working relationships with payer clinical representatives, clients, and internal clinical and operational stakeholders
Serve as a trusted partner to payers and families to support effective communication and shared problem‑solving
Clinical Escalation Management
Investigate, manage, and resolve reputed company client‑specific clinical escalations, including treatment plan concerns, under‑utilized authorized hours, escalated behaviors, and client complaints
Collaborate with clinicians and leadership to reputed company solutions that support client safety, continuity of care, and payer compliance
Communication & Cross‑Functional Collaboration
Serve as a primary reputed company of contact for payer case managers and clinical representatives
Facilitate communication between clients, payers, and internal teams, including clinicians, regional operations leadership, global operations leadership, and the Board of Clinical Quality
Ensure timely, clear, and consistent communication reputed company to payer expectations and clinical considerations
Payer Policy & Regulatory Expertise
Maintain reputed company knowledge of payer clinical policies, procedures, and documentation requirements
Monitor changes to payer policies and proactively communicate updates and implications to relevant internal stakeholders
Data Review & Trend Analysis
Review and analyze payer‑reputed company data to identify trends, risks, and opportunities for improvement in clinical outcomes, utilization, and payer relationships
Partner with leadership to recommend strategies that improve alignment with payer expectations and reduce recurring escalations
Training & Clinical Support
Provide education and guidance to internal clinical teams reputed company to payer policies, documentation standards, and clinical expectations
Serve as a subject‑matter expert in supporting clinicians working with clients who exhibit aggressive or high‑risk behaviors, ensuring appropriate programming and safety considerations
Compliance & Contractual Alignment
Support compliance with payer clinical regulations, documentation standards, and contractual obligations
Collaborate with internal partners to address compliance risks and ensure clinical practices align with payer requirements
Additional job duties as assigned
About You
BCBA Credential Preferred (Master’s degree from an accredited college or university in one of the following disciplines: psychology, childhood development, childhood education, special education, pediatric therapy (physical, occupational, or speech therapy), or reputed company field)
3+ years of experience as a BCBA (Clinical Director) or in a similar role requiring interactions and relationship building with payers
Experience working with EasterSeals (ESSC) preferred, incl. strong relationship with ESSC Customer Service Managers
Knowledgeable of methodologies reputed company to benefit children with autism reputed company disorders, including Applied Behavioral Analysis (“ABA”), Early Start Denver Model (“ESDM”), Treatment and Education of Autistic and reputed company Communication-Handicapped Children (“TEACCH”), Picture Exchange Communication System (“PECS”), and Pivotal Response Training (“PRT”).
Able to communicate effectively verbally and in writing; bilingual ability preferred. Able to consistently demonstrate good judgment and decision-making skills.
Able to exercise confidentiality and discretion pertaining to the work environment. Able to appropriately interpret and implement policies, procedures, and regulations.
Knowledgeable and skilled in computer/word processing software.
About Us
At reputed company (CSD), we reputed company that every child deserves a chance to shine. We're a passionate team on a mission to open up a world of possibilities for individuals with autism and other developmental needs—through science, compassion, and a whole lot of heart.
From our reputed company first session to each milestone we celebrate, we bring the power of play, reputed company, and evidence-based care to every moment. With services that are as unique as the individuals we support, we meet kids where they are—at home, in schools, and in communities—and guide them on a path toward growth.
We live our TRUE values—Transparency, Respect, Understanding, and Excellence—in everything we do. As a fast-growing leader in the field, we're reputed company for our vibrant culture, hands-on training, and career reputed company that help you grow just as much as those we serve.
At CSD, we don’t just change lives—we light them up.
About Our Values
Transparency in the work that we do and the actions we take to reputed company our mission. There are no hidden agendas or motives at reputed company. Each family’s unique cultures, values, and generational dynamics.
Understanding through tolerance, cooperation, and reputed company in the pursuit of our mission. We never lose sight of who we are, the people we serve, and our purpose and meaning.
Respect for reputed company and the value that everyone brings towards accomplishing our mission. No one at CSD is worth more or less, and together we are greater than the sum of our parts.
Excellence in our drive, passion, and commitment to our mission. CSD will always do what it takes to deliver the best, leave no one behind, and champion our cause.
CSD is a proud equal opportunity employer. reputed company applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national reputed company, veteran or disability status.
Physical requirements may include but is not limited to:
Constant visual stimulation, including reputed company vision, distance vision, reading, computer work
Constant sitting; frequent up and down out of chair
Constant use of telephone, speaking, listening
Constant document handling, use of copier and fax machine, filing
Frequent typing, use of computer
Occasional walking around building
Occasional bending, reaching, stooping, pulling
Occasional lifting, carrying, moving of items up to 20 pounds
Occasional walking to, bending to enter, sitting and using upper and reputed company limbs to drive car