Payor Strategy

Reposted 10 Days Ago
Be an Early Applicant
3 Locations
Remote
Senior level
Software
The Role
The Payor Strategy leader will expand payer contracting strategies, negotiate contracts, strengthen partnerships, optimize processes, and lead a team to enhance patient access and revenue.
Summary Generated by Built In

As a payor strategy leader, you will drive our payor strategy and help deepen and broaden our accessibility to more prospective patients. You have a proven history of leading payor contracting, including direct negotiations with national / local players and have strong knowledge of healthcare service payment strategies.

What you’ll be doing

  • Expand and develop a strategy for payor contracting across existing and new health plans
  • Proactively research, identify, build, and maintain relationships with key stakeholders at target health plans to identify opportunities for collaboration and partnership
  • Develop individualized partnership proposals tailored to the needs of target health plans, keeping in mind the overall goal of increasing access to and delivering quality healthcare services
  • Negotiate new contracts and more favorable rates to ensure maximum revenue and operational efficiency and compliance
  • Direct and support the launch of new markets / new states via contracting with local, regional, and national payors
  • Act as a highly metrics and process driven leader, optimizing collections and insurance / verification while working closely with the RCM team to develop a cohesive end to end reimbursement process
  • Create, drive, and track KPIs and quality indicators for payors including contract volumes, rates and benchmarks
  • Identify, track, and manage all contracts and contract terms; develop ongoing strategies for better contracting maintenance processes
  • Maintain expertise with FFS and, when appropriate, risk based contracting (VBC) payments relative to dietician practice performance, member experience measures, clinical quality measures, and other related measures that drive total cost of care
  • As the company continues to grow, recruit, retain, and mentor a top-tier payer function and team that can successfully scale with the organization

The best companies are made of the best people. There’s no shortage of work ahead, but we stay balanced and look forward to celebrating our wins as a team.
See our careers page here to learn more about working on our team.

Top Skills

Healthcare Service Payment Strategies
Payor Contracting
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
132 Employees
Remote Workplace

What We Do

Meet with Registered Dietitians covered by your health insurance and see why millions of people are paying $0 for their very own personal nutritionist

Similar Jobs

Bounteous Logo Bounteous

Sr. Director, Digital Strategy Health+ (Payor)

Agency • Digital Media • eCommerce • Professional Services • Software • Analytics • Consulting
Remote
United States
4000 Employees

AMP Logo AMP

Managing Director, Government Affairs

Artificial Intelligence • Computer Vision • Greentech • Machine Learning • Robotics • Industrial • Automation
Easy Apply
Remote
United States
130 Employees
195K-210K

Hypori Inc. Logo Hypori Inc.

Manager, Revenue Strategy and Operations

Security • Software • Cybersecurity • Data Privacy
Easy Apply
Remote
Austin, TX, USA
125 Employees
100K-130K

Pie Insurance Logo Pie Insurance

VP, Underwriting Operations and Customer Service

Fintech • Insurance • Machine Learning • Other • Analytics • Automation
Remote
United States
400 Employees
195K-250K Annually

Similar Companies Hiring

True Anomaly Thumbnail
Software • Machine Learning • Hardware • Defense • Artificial Intelligence • Aerospace
Colorado Springs, CO
131 Employees
Caliola Engineering Thumbnail
Software • Machine Learning • Hardware • Defense • Data Privacy • App development • Aerospace
Colorado Springs, CO
53 Employees
Red 6 Thumbnail
Virtual Reality • Software • Hardware • Defense • Aerospace
Orlando, Florida
113 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account