Apply on Employer Site

Theragen · 3 weeks ago

Director of Payor Relations

Chicago, IL

Full-time

Hybrid

Lead/Staff, Director/Executive

3+ years exp

Theragen is a growth stage medical device startup that manufactures and sells advanced electrical stimulation technologies. They are seeking a Director of Payor Relations to support the commercial launch of their ActaStim-S device, focusing on managing relationships with managed care organizations and overseeing contracting efforts.

Health CareMedicalMedical DeviceTherapeutics

Hiring Manager

Thomas Burke

Responsibilities

Manage multiple staff in day to day contracting and upkeep of in-network DME supplier participation agreements with managed care organizations

Initiate new managed care organization contracting efforts with local, regional, and national payors and serve as project lead for new efforts

Key staff involved in managed care sales strategy

Coordinate and updated management team on sales pipeline/funnel

Coordinate marketing materials, KOL management, and conference for

Manage and communicate Theragen’s concerns and interests to managed care organizations regarding pricing, claim status, and medical policy

Collaborate with sales management and revenue cycle team to prioritize initiatives for contracting efforts

Responsible for managed CRM system of managed care/ provider relations staff

Keep Theragen’s state and CMS level credentialing up to date

Qualification

Managed care contractingHealthcare insurance knowledgeCRM systemsRelationships with payorsWritten communication skillsGeneral physiology knowledgeGeneral anatomy knowledge

Required

Bachelor's or Associate's degree

3+ years working with provider organizations on contracting efforts

Valid drivers license and ability to travel 50% of time

History in contracting efforts with managed care organizations

Highly refined written communication skills to be utilized in drafting proposals and email sales

In-depth knowledge of the American healthcare insurance ecosystem, including commercial healthcare, governmental, and workers compensation insurance plans

Understanding of CRM systems and relational databases

General physiology and anatomy knowledge