Payor Strategy

Posted 4 months agoViewed

💎 Seniority level: Lead

📍 Location: USA

🔍 Industry: Healthcare

🏢 Company: Fay

🪄 Skills: LeadershipBusiness DevelopmentData AnalysisPeople ManagementCross-functional Team LeadershipStrategyCommunication SkillsAnalytical SkillsCollaborationNegotiationRelationship building

Requirements:

Proven history of leading payor contracting, including negotiations with national and local payors.
Strong knowledge of healthcare service payment strategies.
Ability to recruit, retain, and mentor a top-tier payer function and team.

Responsibilities:

Expand and develop a strategy for payor contracting across existing and new health plans.
Research and build relationships with key stakeholders at target health plans.
Develop partnership proposals tailored to target health plans' needs.
Negotiate new contracts for maximum revenue and operational efficiency.
Direct the launch of new markets via contracting with various payors.
Optimize collections and verification processes in collaboration with the RCM team.
Create and track KPIs and quality indicators for payors.
Manage all contracts and contract terms effectively.

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Conduct discovery research to shape the payor product experience.
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Share knowledge across your team to support shared understanding of product components.

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