At the Center for Social Dynamics (CSD), we believe 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 complex 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 complex healthcare systems.
As a Director at CSD, you will help shape how we partner with payers, support our clinicians, and advocate for families—ultimately ensuring that services are delivered with integrity, consistency, and excellence.
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 complex 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 complex client‑specific clinical escalations, including treatment plan concerns, under‑utilized authorized hours, escalated behaviors, and client complaints
Collaborate with clinicians and leadership to develop solutions that support client safety, continuity of care, and payer compliance
Communication & Cross‑Functional Collaboration
Serve as a primary point 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 related to payer expectations and clinical considerations
Payer Policy & Regulatory Expertise
Maintain current 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‑related 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 related 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
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 related 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 found to benefit children with autism spectrum disorders, including Applied Behavioral Analysis (“ABA”), Early Start Denver Model (“ESDM”), Treatment and Education of Autistic and related 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 Center for Social Dynamics (CSD), we believe 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 very first session to each milestone we celebrate, we bring the power of play, connection, 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 known for our vibrant culture, hands-on training, and career pathways 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 achieve our mission. There are no hidden agendas or motives at Center for Social Dynamics. Each family’s unique cultures, values, and generational dynamics.
Understanding through tolerance, cooperation, and empathy 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 all 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. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Physical requirements may include but is not limited to:
Constant visual stimulation, including close 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 lower limbs to drive car