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, ensuring compliance, and collaborating with internal teams. This role requires strong negotiation skills, analytical abilities, and a deep understanding of health plan operations. You will contribute to expanding access to mental health care for consumers. Headspace offers a competitive salary and a comprehensive benefits package, including healthcare, wellness stipends, retirement matching, 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
• 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 health plan billing and credentialing teams in working with payer to resolve operational and payment issues
• Partner with health plan billing, credentialing, 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