Job Description
The role is for a Payor Strategy Leader. This person will be responsible for driving the company's payor strategy and increasing patient accessibility. They will lead payor contracting, negotiate with national and local players, and possess a strong understanding of healthcare service payment strategies.
Role involves:
- Expanding and developing payor contracting strategy.
- Researching and building relationships with health plan stakeholders.
- Developing partnership proposals for health plans.
- Negotiating contracts and rates.
- Launching new markets through payor contracting.
- Optimizing collections and insurance verification.
- Tracking KPIs for payors.
- Managing contracts and terms.
- Maintaining expertise with FFS and risk-based contracting.
- Recruiting, retaining, and mentoring a payer team.
Requirements:
- Proven history of leading payor contracting.
- Strong knowledge of healthcare service payment strategies.
- Experience in direct negotiations with national/local players.
- Metrics and process-driven leadership.
- Expertise with FFS and risk-based contracting.
Role offers:
- Opportunity to drive payor strategy for the company.
- Chance to expand access to healthcare services.
- Leadership role with team-building potential.