Eleanor Health is hiring a
Director

Summary

Join Eleanor Health as a Director, Payor and Strategic Partnership Contracting to lead payor contracting and provide leadership in all aspects of payor negotiations, contracting, and adapting Eleanor Health to a dynamic payor landscape and reimbursement structures. This role will also support the Chief Growth Officer and senior leadership team in contracting strategic partnerships that create additional value for Eleanor’s community members and that generate revenue and growth opportunities for our business.

Requirements

• Minimum 10 years of experience with healthcare contracting, pipeline management and growth related roles
• Minimum 5 years direct payor or health system contracting experience
• Minimum 3 years experience negotiating term sheets with payors and/or healthcare organizations
• Proven understanding of payor reimbursement dynamics such as alternative payment models, value based care and fee for service contract models

Responsibilities

• Lead the negotiation process for payor contracts, including fee-for-service, value-based, and alternative payment models
• Negotiate partner contracts to ensure alignment with payors, partnership objectives and Eleanor Health business goals
• Develop negotiation strategies to optimize reimbursement rates and contract terms
• Develop contractual agreements with payors and providers, ensuring compliance with regulatory requirements and provider and program policies
• Collaborate with legal and compliance teams to review, finalize, and execute contracts
• Collaborate with partnership team colleagues to review contract performance and identify opportunities for improvement or renegotiation
• Cultivate and maintain strong relationships with a network of payor organizations and strategic business partners including health insurance companies, government payors, and other stakeholders
• Generate new opportunities and increase awareness and market knowledge of Eleanor Health through direct outreach and events
• Collaborate with internal departments, including finance, analytics, operations, legal, compliance, and clinical teams, to align contracting strategies with organizational goals
• Conduct market analysis to identify payor and provider trends, competitive landscape, and opportunities for partnership
• Monitor industry changes and regulatory developments to inform contracting strategies and risk mitigation
• Prepare and present reports on contract performance to executive leadership and relevant stakeholders and recommend adjustments to contracting strategies based on performance analysis and market dynamics

Preferred Qualifications

• Strong background on solution selling and proven experience selling into the payor market, preferably with value based care contracting
• An expert at building and maintaining meaningful relationships, establishing credibility, and thinking strategically
• Skilled in producing and delivery of an effective pitch, compelling value propositions, and care model presentations
• Proven network within the payor markets and in-depth knowledge of the healthcare industry, payor landscape and health plan needs; behavioral health and SUD knowledge is a strong plus
• Excellent analytical and problem-solving skills to identify opportunities and drive effective strategies
• Collaborative and team-oriented mindset to work effectively with cross-functional teams
• Adaptability and ability to thrive in a dynamic environment

Benefits

• Vacation Time - 96 annual hours of vacation (accrued monthly, prorated for new hires)
• 9 observed company holidays + 3 floating holidays
• Wellness Time - 96 annual hours, granted on day 1 (prorated for new employees)
• Eleanor-paid medical and dental insurance plans, with affordable vision coverage
• 401(k) plan with 3% match
• Short-term disability
• Long Term Disability (employee paid)
• Life Insurance (Eleanor and employee-paid options available)
• Family Medical Leave
• Wellness Perks & Benefits
• Mindfulness App Reimbursement
• EAP with eight face-to-face sessions
• Virtual health and wellness visits covered by our medical plan