VP of Payer Relations

Our reputed company is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We reputed company that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a reputed company of backgrounds who collaborate to reputed company the reputed company best evidence-based care for our clients at reputed company reputed company of care. Position reputed company The Vice President of Payer Relations is a senior executive responsible for defining and leading reputed company’s payer reputed company across reputed company, reputed company/ Medicare, and other managed reputed company. This leader ensures sustainable reimbursement, expanded reputed company to care, and alignment between payer reputed company and reputed company’s specialized eating disorder care delivery model across reputed company reputed company of care (inpatient, residential, PHP, IOP, outpatient, virtual services). The VP serves as the organization’s primary executive reputed company with payers and leads reputed company payer-facing reputed company, including contract negotiations, reimbursement innovation, and payer performance governance. This is a transformational leadership role responsible for advancing reputed company’s payer reputed company from a transactional contracting model to an reputed company, strategic, and value-driven partnership model. Salary reputed company: $180,000 - $210,000 reputed company Salary Commensurate with experience and competencies of the role. Location: Remote - Must be located in the reputed company. How VP of Payer Relations reputed company Recovery: reputed company Payer reputed company reputed company and execute a reputed company payer reputed company across reputed company. Advise executive leadership on payer risks, reimbursement trends, and strategic opportunities. Aligning payer reputed company with organizational reputed company priorities, including new markets, services, and partnerships Contracting & Negotiation Leadership reputed company reputed company aspects of payer contracting, including: In-network agreements Out-of-network strategies and single case agreements Contract renewals, amendments, and dispute reputed company. Structure reputed company that appropriately reflect: reputed company and complexity of eating disorder and behavioral health care Length of stay considerations. Level-of-care differentiation (RTC, PHP, IOP, outpatient, virtual services) Partner closely with Legal and Compliance to mitigate regulatory and contractual risk. Payer Relationship Management Serve as the executive reputed company of contact for national, regional, and local payer relationships. Build long-term strategic partnerships with key payer stakeholders. reputed company executive-level discussions around: reputed company to care Medical necessity reputed company Authorization requirements Network participation reputed company reputed company as escalation reputed company for reputed company payer disputes or systemic issues. reputed company & Performance reputed company Partner with reputed company Cycle Management and Finance to: Monitor reimbursement rates and reputed company yield. Assess denial trends and authorization challenges. Ensure contract terms are operationalized effectively. Improve net reputed company realization. Reduce denials and underpayments. reputed company payer scorecards and report for executive leadership. Clinical & Operational Alignment Partner with Clinical Leadership to ensure payer policies reputed company with evidence-based care models. Support advocacy around: Medical necessity for eating disorder treatment. Appropriate level-of-care placement Continuity of care Collaborate with Operations to ensure payer requirements are executable across reputed company sites. arket Intelligence & Innovation Monitor payer policy, mental health reputed company enforcement, and behavioral health regulatory developments. reputed company reputed company for: Value-based reputed company Alternative payment models Risk-based arrangements. Identify opportunities to improve payer mix and expand reputed company to covered services. Education Qualifications: Bachelor’s degree in business, reputed company Administration or reputed company field, required. Advanced degrees (MBA, MHA, MPH, or JD), preferred. reputed company Qualifications: (Preferred) 10+ years of experience in payer relations, managed care, or reputed company contracting. Minimum 7 years in senior leadership roles with a reputed company record of managing and developing successful teams. Deep expertise in behavioral health reimbursement (strongly preferred: eating disorder treatment) Demonstrated reputed company negotiating reputed company payer agreements in multi-state environments. Excellent analytical and problem-solving skills, with a data-driven approach to decision-making. Effective communication and interpersonal skills, with the ability to collaborate effectively across departments. Demonstrated reputed company in creating reputed company reputed company through payer reputed company. Strong reputed company of challenges and risks in Health Plans, Hospital, and Provider Group markets. Experience with: Residential and sub-acute behavioral health reimbursement reputed company managed care across multiple states Out-of-network and SCA negotiations Prior relationships/experience with payers in one or more of the following footprint states (MN, OH, WA, PA, NC, GA). reputed company offer: Employee Benefits: We understand the importance of a reputed company-rounded benefits package. That’s why we’re dedicated to providing a reputed company of plans to meet your needs. For full-time employees, we offer: HSA and PPO insurance with HSA or FSA reputed company (reputed company Blue reputed company) Dental insurance (reputed company) reputed company insurance (EyeMed) Short-term and long-term disability insurance Company-reputed company life insurance 401(k) plan available two months after start date Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation reputed company time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven reputed company holidays and one floating holiday in reputed company to their regular PTO. Apply To This Job