Director - Payor and Strategic Partnership Contracting

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Eleanor Health

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Helping anyone concerned about their mental health or affected by addiction live amazing lives.

201 - 500

Description

• Responsible for payor contracting and leadership in negotiations • Lead the negotiation process for payor contracts • Negotiate partner contracts for alignment with objectives • Develop strategies to optimize reimbursement rates • Collaborate with legal and compliance teams on contracts • Cultivate relationships with payor organizations and partners • Conduct market analysis for payor and provider trends • Monitor industry changes to inform strategies • Prepare reports on contract performance for leadership.

Requirements

• Minimum 10 years of experience with healthcare contracting, pipeline management and growth related roles • Minimum 5 years direct payor or health system contracting experience • Minimum 3 years experience negotiating term sheets with payors and/or healthcare organizations • Proven understanding of payor reimbursement dynamics such as alternative payment models, value based care and fee for service contract models • Strong background on solution selling and proven experience selling into the payor market, preferably with value based care contracting • An expert at building and maintaining meaningful relationships, establishing credibility, and thinking strategically • Skilled in producing and delivery of an effective pitch, compelling value propositions, and care model presentations • Proven network within the payor markets and in-depth knowledge of the healthcare industry, payor landscape and health plan needs; behavioral health and SUD knowledge is a strong plus • Excellent analytical and problem-solving skills to identify opportunities and drive effective strategies • Collaborative and team-oriented mindset to work effectively with cross-functional teams • Adaptability and ability to thrive in a dynamic environment.

Benefits

• 96 annual hours of vacation • 9 observed company holidays + 3 floating holidays • 96 annual hours of Wellness Time • Eleanor-paid medical and dental insurance plans • 401(k) plan with 3% match • Short-term disability • Long Term Disability • Life Insurance • Family Medical Leave • Mindfulness App Reimbursement • EAP with eight face-to-face sessions • Virtual health and wellness visits covered by our medical plan.