Drive new business growth and ensure ongoing success in our strategic health plan partnerships.
Deepen external payer relationships to identify new product opportunities and drive further alignment.
Responsible for growth relationships with MCOs and capturing new business opportunities.
Nadia Care is working to drastically change the experience of affected communities by reimagining how we deliver meaningful and compassionate care to expectant moms. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey.
Serves as principal lead on a defined number of providers for negotiation, strategy, and market intelligence.
Assist in the establishment of contract-related criteria and contracting guidelines to optimize financial performance and minimize Plan risk.
Responsible for understanding provider partners’ service needs and incorporating contract solutions to support providers and Capital Blue Cross in reaching shared goals.
Capital Blue Cross aims to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” due to their supportive colleagues and focus on professional and personal growth.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Meet access goals and ensure medical coverage pathways are consistent with FDA approved prescribing information
Consistently engage National and Regional commercial payers, FFS and Managed Medicaid plans, and Federal payers to positively influence decision makers in areas of clinical criteria and medical policy
Work cross-functionally within the POD team structure to ensure alignment across Genetix’s stakeholders and that QTCs receive surround sound support at every step in the patient journey
Genetix Biotherapeutics is pursuing curative gene therapies to give patients and their families more days. They are doers, thinkers and collaborators who embrace cooperation and the integration of multiple viewpoints and value radical care.
Develop the provider network through contract negotiations, relationship development, industry analysis and servicing.
Analyze, review, and project financial impacts of network contract arrangements.
Implement reimbursement strategies designed to control healthcare costs.
Blue Cross of Idaho is an Idaho-based health insurance company that has been around since 1945. As a not-for-profit, they are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services with the help of customer-centric professionals.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Be accountable for long term strategy, relationships, and growth of a dedicated book of key health plan partners.
Lead, mentor, and advocate for a team of Payor Partnership Managers, ensuring they have the tools, training, and strategic guidance to exceed their individual goals.
Own contract strategy & renewals to optimize partnership structure and success.
Equip is a virtual, evidence-based eating disorder treatment program focused on ensuring access to effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.