Soleo Health is seeking a Vice President of Payor Relations to lead the strategic direction, development, and execution of our national payor contracting and network management efforts, driving growth, market access, and profitability across the organization. Must be located near Frisco, TX or St. Louis, MO. Join us in simplifying complex care! Soleo Health
Perks:
- Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Vice President of Payor Relations is a top executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company.
- This executive will play a critical role in shaping the company’s approach to healthcare contracting, sales, and network management at a national level.
- The Vice President will lead efforts to optimize our Payor relations strategies, ensuring they align with the company's long-term objectives and maximize profitability and return on investment.
- Responsibilities include: Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies.
- Drive the achievement of contracted sales goals and enhance market share and profitability.
- Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure competitive and sustainable growth.
- Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and regional business leaders.
- Oversee detailed financial analyses of Payor contracts to identify trends and inform strategic decision-making.
- Manage budget projections for contracting sales pipelines and assess financial performance.
- Serve as the primary executive contact for major external partners, including Managed Care Organizations, PBM’s, Health Systems and Independent Practice Associations (IPAs).
- Build and maintain strategic relationships to bolster business objectives.
- Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded reimbursement in Payor agreements.
- Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals.
- Maintain and update the company's strategy in response to healthcare legislation changes.
- Act as a subject matter expert to guide Payor Relations policies and practices.
