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Company

Headspace · 4 hours ago

Senior Payer Operations Manager

Remote - United States

Full-time

Remote

Mid, Senior Level

$113K/yr - $159K/yr

6+ years exp

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H1B Sponsor Likely

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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

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Payer contracting experienceNetwork operationsData-driven skillsRelationship buildingDigital health experienceBillingCollectionsCredentialing agreements

Required

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

Preferred

Digital health experience

Benefits

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

Company

Headspace

Glassdoor

3.2

Headspace specializes in providing mental healthcare, including coaching therapy and psychiatry, as well as meditation mindfulness tools.

Founded in 2010

Santa Monica, California, USA

501-1000 employees

http://www.headspacehealth.com

H1B Sponsorship

Headspace has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (2)

2022 (8)

2021 (3)

2020 (6)