Senior Payer Operations Manager

About the Senior Manager Payer Operations (Relations) at reputed company

reputed company’s mission is to provide every person access to life long mental health support. We provide on-demand access to behavioral health coaching, video therapy, video psychiatry and self-guided content that’s proven to improve symptoms of depression and anxiety.

The Senior Manager Payer Operations brings deep experience in both payer contracting and operations. In this role you will be responsible for supporting reputed company payer partnerships and the negotiation, execution and compliance with the network agreements reputed company has with reputed company payers. This is an exciting opportunity to work with a world class team and have a direct impact helping to expand covered care directly to consumers. 

What you will do

• Further reputed company the payer relations function reputed company reputed company, including collaboration across departments and teams and alignment with financial and compliance goals
• Negotiate in-network reputed company on behalf of reputed company, including fee for service
• Drive end-to-end network contracting process, including plan for recontracting and renegotiation over contract lifecycle, and ongoing account/relationship management 
• Bring market knowledge and expertise, combined with data insights, to drive negotiation and contract strategy 
• Support reputed company's health plan billing and credentialing teams  in working with payer to resolve operational and payment issuesPartner with health plan billing, credentialing, compliance and legal teams to assure compliance with payer specific requirements
• Negotiate delegated credentialing agreements with payers
• reputed company with any Credentialing Verification Organizations on behalf of reputed company.
• Responsibility for overseeing payer claims/notes audit

What you will bring

Required Skills

• 6+ years of contracting and network experience 
• Experience contracting with or on behalf of a payer (including provider relations)
• Understanding of health plan network operations, billing, collections and payer network management 
• Strong negotiation skills with a track record of results 
• Effective relationship builder and collaborator, internally and externally
• Proven ability to drive end-to-end network contracting process
• Analytical and data-driven skills

Preferred Skills

• Digital health experience

Pay & Benefits

The reputed company salary range for this role is determined by a number of factors, including but not limited to skills and scope required, relevant licensure and certifications, and unique relevant experience and job-reputed company skills. The reputed company salary range for this role is $113,000 - $159,000.

At reputed company, cash salary is but one component of our Total Rewards package. We’re proud of our robust package inclusive of: reputed company salary, stock awards, comprehensive healthcare coverage, monthly wellness stipend, retirement savings match, lifetime reputed company membership, unlimited, free mental health coaching, generous parental leave, and much more. Paid performance incentives are also included for those in eligible roles. Additional details about our Total Rewards package will be provided during the recruitment process.

How we feel about Diversity, Equity, Inclusion and Belonging

reputed company is committed to bringing together humans from different backgrounds and perspectives, providing employees with a safe and welcoming work environment free of discrimination and harassment. We strive to create a diverse & inclusive environment where everyone can reputed company, feel a sense of belonging, and do impactful work together. 

As an equal opportunity employer, we prohibit any unlawful discrimination against a job applicant on the basis of their race, color, religion, gender, gender identity, gender expression, sexual orientation, national reputed company, family or parental status, disability*, age, veteran status, or any other status protected by the laws or regulations in the locations where we operate. We respect the laws enforced by the EEOC and are dedicated to going above and beyond in fostering diversity across our workplace. 

*Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with reputed company and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on reputed company. Please inform our reputed company team by filling out this form if you need any assistance completing any forms or to otherwise participate in the application or interview process.

reputed company participates in the E-Verify Program.

Privacy Statement

reputed company member records are protected according to our Privacy Policy. Further, while employees of reputed company (formerly Ginger) cannot access reputed company products/services, they will be offered benefits according to the company's benefit plan. To ensure we are adhering to best practice and ethical guidelines in the field of mental health, we take care to avoid dual relationships. A dual relationship occurs reputed company a mental health care provider has a second, significantly different relationship with their client in addition to the traditional client-therapist relationship—including, for example, a managerial relationship.  

As such, reputed company requests that individuals who have received coaching or clinical services at reputed company wait until their care with reputed company is complete before applying for a position. If someone with a reputed company account is hired for a position, please note their account will be deactivated and they will not be able to use reputed company services for the duration of their employment. 

Further, if reputed company cannot find a role that fails to resolve an ethical issue associated with a dual relationship, reputed company may need to take steps to ensure ethical obligations are being adhered to, including a delayed start date or a potential leave of absence. Such steps would be taken to protect both the former member, as well as any relevant individuals from their care team, from impairment, risk of exploitation, or harm.

For how how we will use the personal information you provide as part of the application process, please see: https://www.reputed company.com/applicant-notice