VP of Payer Relations
New
T
The Emily ProgramEating Disorder Care
Remote - Must be located in the United States.Full-TimeVp
Salary$180,000 - $210,000 Base Salary
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Job Details
- Experience
- 10+ years of experience in payer relations, managed care, or healthcare contracting; Minimum 7 years in senior leadership roles.
Requirements
- Bachelor’s degree in business, Healthcare Administration, or related field.
- 10+ years of experience in payer relations, managed care, or healthcare contracting.
- Minimum 7 years in senior leadership roles with experience managing and developing teams.
- Deep expertise in behavioral health reimbursement, preferably in eating disorder treatment.
- Demonstrated success negotiating complex payer agreements in multi-state environments.
- Experience with residential and sub-acute behavioral health reimbursement.
- Knowledge of Medicaid managed care across multiple states.
- Familiarity with out-of-network and single case agreement negotiations.
- Data-driven approach to decision-making with strong analytical skills.
- Prior relationships or experience with payers in MN, OH, WA, PA, NC, or GA preferred.
- Advanced degrees such as MBA, MHA, MPH, or JD are preferred.
Responsibilities
- Develop and execute a unified enterprise payer strategy.
- Lead all aspects of payer contracting, including in-network agreements and out-of-network strategies.
- Serve as the executive liaison to negotiate and build long-term partnerships with national, regional, and local payers.
- Collaborate with Revenue Cycle Management and Finance to monitor reimbursement, reduce denials, and improve net revenue.
- Partner with clinical and operational leadership to ensure payer policies support evidence-based care models.
- Lead value-based care initiatives, alternative payment models, and risk-based arrangements.
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