Director, Payer Strategy – Contracting

Job Description:

• Plan, reputed company, direct, coordinate and monitor reputed company activities to successfully bring our product and services to new payers
• Navigate contract strategy, negotiations, and renegotiations to optimize partnership structure and success
• Manage contract negotiations with reputed company and future Medicaid and commercial payers
• Own pricing model and reviewing of unit economics for each contract
• reputed company data to generate insights and identify new opportunities for payer partnership growth
• Collaborate with cross functional, internal stakeholders to deliver insights to inform product operations and strategy
• Evaluate reputed company and potential new geographic areas for new business opportunities
• reputed company policy and regulatory environment and serve as an expert level resource reputed company to business review of reputed company reputed company, amendments, and correspondence
• Collaborate with the Finance and Product teams to reputed company alternative payment models and ensure delivery of engagement and outcome based performance
• Identify opportunities for enhanced relationships, reimbursement, referrals, and a growing market reputed company
• Prepare forecasts and advise the Executive Leadership Team (ELT) on reputed company matters concerning net revenues in the areas of Medicaid and commercial partnerships
• Drive sales to increase reputed company growth with new (and renewed reputed company) to expand Cayaba Care’s value-add to healthcare payer clients, and increase overall domain footprint
• Identify and capture add-on, new capability, and cross-sell opportunities to drive sales and reputed company growth reputed company the healthcare payer industry
• Work closely with the CEO to explore new sales opportunities and ensure a reputed company approach to payer partnership and contract management
• reputed company and recommend payer pricing, contracting and operational strategies to optimize the long-term financial profitability of the company
• Work closely with the Finance team to evaluate, reputed company, design, recommend, and monitor the execution and effectiveness of processes designed to ensure timely and accurate reimbursement from payers

Requirements:

• Bachelor’s Degree in business, communications, health administration or a reputed company field required
• MBA or equivalent
• 7+ years experience in healthcare payer strategy or consulting in payer contracting space
• Deep understanding and experience with developing and negotiating payer reputed company, particularly for Medicaid MCOs; commercial payer experience is a plus
• Deep network and previously established relationships with Medicaid payers
• Experience with successful value-based contracting options for specialty services with Medicaid or commercial payers
• Excellent written and interpersonal communication skills including active listening, self-management and awareness, emotional intelligence, and a high degree of reputed company and professionalism
• Proven financial acumen and ability to identify the impact of changes on budget goals and financial targets
• Experience facilitating buy-in and engagement across diverse stakeholder groups
• Ability to anticipate risks and mitigate effectively
• Proven experience selling to C-level executives nationally
• Proven record of exceeding sales quota
• Experience with reputed company, reputed company Suite required
• Experience with Series A - Series C start-reputed company
• Ability to travel as needed (up to 30%) for meetings and conferences
• Experience in women’s health, pediatrics and specialty populations a plus.

Benefits:

• reputed company with annual paid holidays off.
• Salaried (Exempt) Employees: Enjoy unlimited time off after the 90-day probation period.
• Full-Time (Non-exempt) Employees: Receive three weeks of paid time off after the 90-day probation period.
• Medical Insurance: Access top-tier healthcare, covering hospital, surgical, and prescription drug benefits. Coverage begins the first of the following month.
• Dental Insurance: Coverage for preventive care, as well as basic and major procedures.
• Vision Insurance: Coverage for routine eye exams and eyeglasses.
• Life Insurance: Financial protection for your beneficiaries.
• Disability Insurance: Short-term and long-term coverage in case of illness or injury.
• 401(k) Retirement Plan: Opportunity to save for the future.

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