Senior Payer Operations Manager

Summary

Join Headspace as a Senior Manager Payer Operations (Relations) and bring experience in payer contracting and operations to support payer partnerships and negotiate network agreements.

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

• Comprehensive healthcare coverage
• Monthly wellness stipend
• Retirement savings match
• Lifetime Headspace membership
• Unlimited, free mental health coaching
• Generous parental leave