Payor Partnerships Manager

About the company

The company is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, the company builds upon evidence-based treatments to empower individuals to reach lasting recovery. All the company patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes [link for members] and treatment approach at [link for members] [link for members]

Founded in 2019, the company has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equipsters that have created the company’s culture.  Recognized by Time [link for members] as one of the most influential companies of 2023, along with awards from Linkedin [link for members] and Lattice [link for members] we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.

About the role

The Payor Partnerships Manager is responsible for serving as a trusted partner for our health plans, from implementation through ongoing value delivery, and is accountable for year-over-year retention, growth, value delivery, and expansion. The Payor Partnership Manager works closely across internal teams to manage day-to-day client interactions, lead health plan reporting and analytics, and identify areas of improvement/innovation in line with health plan partner goals. The Payor Partnerships Manager must be able to build strong relationships and support contracting conversations, serving as the subject matter expert for their program delivery strategy, panel growth strategy, operational customizations and overall outcome metrics.

Responsibilities

• Support multiple health plan partners from implementation through ongoing value delivery.

• Serve as intermediary to fairly represent partner interests and needs to internal stakeholders at the company including product feedback, operational design/support, member support, and clinical care.

• Quarterback day-to-day program delivery, working closely with internal stakeholders to deliver on program KPIs.

• Partner with the Patient Acquisition & Marketing teams to execute on payor penetration and growth strategy.

• Accountable for health plan satisfaction, renewals & expansion opportunities to new markets, states, and lines of business, contract adherence, contract P&L, contract utilization.

• Produce and deliver high quality, actionable client meeting agendas, report content, etc.

• Ensure our clients are well positioned for program success by executing a best in class implementation and account management strategy that achieves key program milestones and exceeds expectations.

• Perform other duties as assigned.

Qualifications

• Bachelor's degree from an accredited institution.

• 3-5 years of experience managing payor contracts.

• Previous experience in mental health working with Managed Care Organizations.

• Proven experience working with multidisciplinary teams to deliver against aggressive project timelines using project management tools and processes.

• Strong interpersonal skills with a proven ability to build strong working relationships, navigate various roles and responsibilities within complex organizations, and effectively represent the needs of both the company team and the health partner client.

• Demonstrated experience owning and managing multiple concurrent relationships with a diverse client base.

• Key analytical abilities to generate program KPIs and insights both for internal and external stakeholders with an eye towards operational excellence and superior value delivery

• Strong understanding of the healthcare landscape, specifically payer and provider focused.

• A passion for living the company’s mission and values.

Time Off

• Flex PTO policy (3-5 wks/year recommended) + 11 paid company holidays.

• Generous parental leave.

Core Benefits

• Competitive Medical, Dental, Vision, Life, and AD&D insurance.

• Equip pays for a significant percentage of benefits premiums for individuals and families.

• Spring Health, a 100% employer-paid mental health benefit through Guardian.

• You can receive 5 free therapy sessions and 5 free coaching sessions per year for you and each of your dependents.

• Employee Assistance Program (EAP), a company paid resource for mental health, legal services, financial support, and more!

• HealthJoy, a 100% employer-paid platform connecting you to a healthcare concierge who can help you navigate your benefits.

• 401K Option!

Other Benefits

Work From Home Additional Perks

• $50/month stipend added directly to an employee’s paycheck to cover home internet expenses.

• $250/month stipend to use a co-working space.

• Initial work-from-home stipend of up to $500.

• Reload of $200 on the home office stipend at the 3-year mark and then every other year after that (year 5, year 7, etc.).

• Company Laptop.

Physical Demands

Work is performed 100% remotely with travel to client meetings required at least once per quarter. Must live with immediate access to the airport and reliable transportation. This position requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.

At the company, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of the company’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have the company DEIB council, the company For All; also referred to as EFA. EFA at the company aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of  members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at the company.

As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law.

Our dedication to equitable access, which is core to our mission, extends to how we build our "village." In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at [link for members]

#LI-Remote