Senior Payer Operations Manager

Summary

Join Headspace as a Senior Manager of Payer Operations and leverage your extensive experience in payer contracting and operations to support Headspace's payer partnerships. You will be responsible for negotiating and executing network agreements, developing strategies to expand payer agreements nationally and regionally, and driving the end-to-end network contracting process. This role requires strong negotiation skills, analytical abilities, and collaboration with internal and external stakeholders. You will also work closely with the Revenue Cycle Management team to resolve claims issues and ensure compliance with payer requirements. Headspace offers a competitive salary and a comprehensive benefits package, including stock awards, healthcare coverage, a wellness stipend, retirement savings match, and generous parental leave.

Requirements

• 6+ years of contracting and network experience
• Experience contracting with or on behalf of a payer (including provider relations)
• Understanding of health plan network operations, billing, collections and payer network management
• Strong negotiation skills with a track record of results
• Effective relationship builder and collaborator, internally and externally
• Proven ability to drive end-to-end network contracting process
• Analytical and data-driven skills

Responsibilities

• Further develop the payer relations function within Headspace, including collaboration across departments and teams and alignment with financial and compliance goals
• Develop strategy to gain more payer agreements (and client specific networks) nationally and regionally in collaboration with partnerships, DTC, and employer direct teams, supporting strategic payer partners
• Negotiate in-network contracts on behalf of Headspace, including fee for service
• Drive end-to-end network contracting process, including plan for recontracting and renegotiation over contract lifecycle, and ongoing account/relationship management
• Bring market knowledge and expertise, combined with data insights, to drive negotiation and contract strategy
• Support Headspace's Revenue Cycle Management team in working with payer to resolve claims submission and payment issues and processes
• Partner with compliance and legal teams to assure compliance with payer specific requirements
• Negotiate delegated credentialing agreements with payers
• Interface with any Credentialing Verification Organizations on behalf of Headspace
• Responsibility for overseeing payer claims/notes audit

Preferred Qualifications

Digital health experience

Benefits

• Base salary, $113,000 - $159,000
• Stock awards
• Comprehensive healthcare coverage
• Monthly wellness stipend
• Retirement savings match
• Lifetime Headspace membership
• Unlimited, free mental health coaching
• Generous parental leave
• Paid performance incentives