- Strategically determine where SonderMind could strengthen its in-network participation with payors and engage with new payors to secure in-network agreements.
- Develop and analyze complex data sets for use with rate modeling, proposal preparation, and negotiations.
- Lead, develop and identify negotiation strategies for fee for service, value based, and alternative payment models to optimize partnership opportunities with key payors, while working collaboratively with internal stakeholders to execute and manage such arrangements.
- Cultivate relationships, build partnerships and maintain strong communication with payors.
- Review and analyze contract language and reimbursement terms in existing and potential payor agreements. Recommend modifications that support the business objectives and benefit the company.
- Collaborate with and support internal cross functional teams, such as Revenue Cycle, Credentialing, Finance and Legal. Identify areas requiring cross function problem solving and initiate solutions.
- Investigate and understand payor market dynamics in different states (payor mix changes, reimbursement issues, product offerings and state regulatory statutes) that will enable you to develop clear value propositions to enhance partnerships with payors.
- Own the end to end negotiation and renegotiation process to include application process to initiate new agreements to operationalizing new agreements and/or amendments. This includes loading data into the contract management system and preparing contract summaries of financial and administrative terms.
- Other responsibilities and ad-hoc projects based on business needs.
- Minimum BA/BS in Business Administration, Healthcare Administration or relateddegree
- Minimum five years experience negotiating payor and/or provider agreements
- Experience managing relationships and agreements
- Knowledge of managed care regulations and laws related to health care, preferably in behavioral health
- Experience with alternative payment models, such as Value Based Programs, Risk Arrangements, and Case Rates
- Ability to work remotely and to travel to the corporate office and to payor visits or conferences occasionally
- Strong negotiation and interpersonal skills: written, verbal, analytical
- Motivated and influential - proactive with the ability to adhere to deadlines; work to "get the job done" in a fast-paced environment.
- Self-starter with the ability to multi-task.
- A commitment to fostering flexible hybrid work
- A generous PTO policy with a minimum of three weeks off
- Therapy coverage benefits to ensure our employees have access to the care they need
- Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA and FSA options
- Employer-paid disability & AD&D to cover life's unexpected events. Not only that, we also cover the difference in salary for up to eight (8) weeks of short-term disability leave
- Eight weeks of paid Parental Leave (if the parent also qualifies for STD, this benefit is in addition)
- 401K retirement plan with 100% matching on up to 4% of base salary
-
Manager/Director of Payor Contracting
2 days ago
SonderMind Careers Denver, United StatesAbout SonderMind · At SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's individualized approach to care starts with using innovative technology to help people not ...
-
Manager/Director of Payor Contracting
5 days ago
Endeavor Denver, United StatesAbout SonderMind · At SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's individualized approach to care starts with using innovative technology to help people not j ...
-
DaVita Denver, United States2000 16th Street, Denver, Colorado, 80202, United States of America · *** This position is a hybrid role based at our Denver Headquarters, requiring three days a week in the office (Tuesday through Thursday). · DaVita's Payor Partnerships team manages a $7B portfolio of commerc ...
-
DaVita Inc. Denver, United States2000 16th Street, Denver, Colorado, 80202, United States of America · * This position is a hybrid role based at our Denver Headquarters, requiring three days a week in the office (Tuesday through Thursday). · DaVita's Payor Partnerships team manages a $7B portfolio of commercial ...
-
Insurance Biller
23 hours ago
National Jewish Health Denver, United StatesPosition Summary · Performs all aspects of third party payor medical billing and ensures accurate and timely billing of receivables. Audits and bills claims according to federal, state, and payor regulatory and compliance requirements. · Essential Duties · Executes patient accoun ...
-
Director, Corporate Counsel, Remote
3 days ago
DaVita Inc. Denver, United States2000 16th Street, Denver, Colorado, 80202, United States of America · As a legal department, we are committed to cultivating a diverse, inclusive, and equitable workplace in which all Teammates feel that they are treated with respect, are valued for the skills and qualities they ...
-
Associate General Counsel,
4 days ago
DaVita Inc. Denver, United States2000 16th Street, Denver, Colorado, 80202, United States of America · As a legal department, we are committed to cultivating a diverse, inclusive, and equitable workplace in which all Teammates feel that they are treated with respect, are valued for the skills and qualities they ...
-
VP of Revenue Cycle
5 days ago
Colorado Denver, United States· VP OF REVENUE CYCLE POSITION OVERVIEW: · The Vice President of Revenue Cycle provides leadership, management and direction to the revenue cycle function, this includes recommendations, development and updating strategic long-range plans to support the organization's Vision an ...
-
Care Navigation Manager/Director, Enterprise
3 days ago
SonderMind Inc. Denver, United StatesAbout SonderMind · At SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's individualized approach to care starts with using innovative technology to help people not j ...
-
VP of Revenue Cycle
5 days ago
Orthopedic Centers of Colorado Denver, United StatesJob Description · Job Description Description: · VP OF REVENUE CYCLE POSITION OVERVIEW: · The Vice President of Revenue Cycle provides leadership, management and direction to the revenue cycle function, this includes recommendations, development and updating strategic long-rang ...
-
US Dermatology Partners Denver, United StatesU.S. Dermatology Partners is seeking an exceptional Board-Certified or Board-Eligible Dermatologist to join our premier dermatology practice in Denver, Colorado · This busy practice is expanding its team to meet patient demand. Enjoy the advantages of working in one of the larges ...
-
Denials Management Representative
4 days ago
National Jewish Health Denver, United StatesPosition Summary · The Denials Management Representative performs a wide range of duties involving the resolution of claims denied or delayed processing by insurance carriers. Identifies, monitors and resolves issues resulting in the denial of claims. Takes corrective action to ...
-
Head Sales Real World Evidence
17 hours ago
RetinAI Medical Denver, United StatesJob Description · Job DescriptionLocation: Remote US (covering US / EU markets) · Company description · Ikerian AG (formerly RetinAI Medical) is a medical device software company headquartered in Bern, Switzerland. Our mission is to enable the right decisions sooner in healthcare ...
-
Summit Medical Consultants LLC Denver, United StatesMedical Billing and Administrative Specialist · Company: Summit Medical Consultants · Location: Greenwood Village, Colorado 80112 · Position Type: Full-time, Exempt · About Us: · Summit Medical Consultants is a rapidly expanding physician owned medical practice committed to prov ...
-
VP of Revenue Cycle
3 days ago
Orthopedic Centers of Colorado Denver, United StatesJob Description · Job DescriptionDescription:VP OF REVENUE CYCLE POSITION OVERVIEW: · The Vice President of Revenue Cycle provides leadership, management and direction to the revenue cycle function, this includes recommendations, development and updating strategic long-range plan ...
-
associate, client strategy
1 week ago
Strive Health Denver, CO, United StatesWhat We Strive For · Strive Health is built for purpose - to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive's model is driven by a hig ...
-
Director, Assistant General Counsel
1 week ago
DaVita Inc. Denver, United States2000 16th St, Denver, Colorado, 80202, United States of America · As a legal department, we are committed to cultivating a diverse, inclusive, and equitable workplace in which all Teammates feel that they are treated with respect, are valued for the skills and qualities they cont ...
-
RN Case Manager
1 week ago
Kindred Hospital Denver Denver, United StatesDescription · $15,000 Sign on Bonus. · $74,000 - $111,600 · We would expect those hired into this job would be paid within this pay range, however, certain circumstances may allow us to pay outside of this range · At Kindred It Starts With Me. · Our commitment is to deliver e ...
-
Dermatologist
1 week ago
U.S. Dermatology Partners Denver, CO, United States Full timeLittleton, Colorado Dermatology Opening|General Dermatology · Dermatology Partners is seeking an exceptional Board-Certified or Board-Eligible Dermatologist to join our premier dermatology practice in Denver, Colorado · Enjoy the advantages of working in one of the largest phys ...
-
Oncology Portfolio Manager
6 days ago
Amgen Denver, CO, United StatesCareer CategorySalesJob DescriptionGeography: Kansas City, DenverHOW MIGHT YOU DEFY IMAGINATION?If you feel like you're part of something bigger, it's because you are. At Amgen, our shared mission—to serve patients—drives all that we do. It is key to our becoming one of the world ...
Manager/Director of Payor Contracting - Denver, United States - SonderMind Careers
Description
About SonderMindAt SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's individualized approach to care starts with using innovative technology to help people not just find a therapist, but find the right, in-network therapist for them, should they choose to use their insurance. From there, SonderMind's clinicians are committed to delivering best-in-class care to all patients by focusing on high-quality clinical outcomes. To enable our clinicians to thrive, SonderMind defines care expectations while providing tools such as clinical note-taking, secure telehealth capabilities, outcome measurement, messaging, and direct booking.
To follow the latest SonderMind news, get to know our clients, and learn about what it's like to work at SonderMind, you can follow us on Instagram, Linkedin, and Twitter.
About the Role
As a dynamic and relationship-driven manager, you will develop, strengthen, and enhance SonderMind's payor relationships nationwide. Using your commercial and government payor relationships and your broad knowledge of payor contracting, you will lead negotiations with payors and health plans, resulting in favorable reimbursement and contractual language terms. You will proactively develop contract negotiation strategies that align with the financial objectives of SonderMind. As a key management team member, you will use your innovation, critical thinking, and analytical skills to secure favorable outcomes contributing to the company's overall success. You are a creative problem-solver and out-of-the-box thinker who is passionate about improving access and outcomes in mental health.
Essential Functions
Working under the direction of the VP of Payor Strategy, you will work both independently and with the team to proactively identify and execute against strategic initiatives. You are highly motivated and can overcome complex challenges and roadblocks. You thrive under pressure and are comfortable working in a fast-paced, changing environment. You will be assertive and authoritative to deliver exceptional
outcomes.
Who you are?
Skills, experience, and education that is needed for this person to be able to succeed in this role
The anticipated salary range for this role is $120,000-130,000 per year.
As a leader in redesigning behavioral health, we are walking the walk with our employee benefits. We want the experience of working at SonderMind to accelerate people's careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their life and work.
Our benefits include:
This position will be an ongoing recruitment process and will be open until filled.
Equal Opportunity
SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.
Manager/Director of Payor Contracting professionals in Denver
-
Julie Johnson
Software Quality Assurance
-
Sarah Bowman
Educator
-
Adam Meyersieck
Leadership, Learning, and Neurodiversity
-
Nicole Stephens
Program Support Specialist
-
Jerod Smith
Sr. Talent Acquisition Lead
-
Natalie Webb
OKR Expert