Priory

Director

• Own the full lifecycle of all payer contracts: negotiation, execution, renewal, and ongoing performance monitoring
• Analyze payer fee schedules and reimbursement rates across all contracts; identify underpayment gaps and drive renegotiation to improve rates
• Maintain and update the practice's chargemaster and fee schedules in the EHR/practice management system (AdvancedMD); ensure rates are accurate and current across all payers and service lines
• Conduct annual fee schedule reviews in partnership with Finance to ensure contracted rates remain strategically aligned with the cost of care
• Ensure compliance with payer policies, mental health parity laws, and applicable state and federal billing regulations
• Serve as the primary point of contact for all payer representatives; maintain direct, active relationships and know who to call to get things done
• Personally escalate and resolve complex payer disputes, wrongful denials, and underpayment issues that require direct payer intervention
• Write and oversee escalated appeal letters; ensure appeals are clinically supported, accurate, and submitted within timely filing requirements
• Monitor payer policy changes and communicate impacts to clinical, compliance, and billing teams proactively
• Ensure fee schedules are correctly loaded in AdvancedMD for every payer and updated promptly when contracts change
• Audit reimbursements against contracted rates to identify systematic underpayments; initiate recovery and corrective action
• Track fee schedule performance across payers and present findings and recommendations to executive leadership
• Partner with Finance on chargemaster strategy to ensure billed charges reflect the appropriate markup above contracted rates
• Oversee the credentialing function; ensure all providers are credentialed and enrolled with relevant payers accurately and on time
• Maintain an accurate credentialing database tracking licensure, certifications, DEA, malpractice coverage, and all expirables; manage renewals proactively
• Personally step in on complex enrollment issues, payer rejections, or credentialing disputes that require escalation
• Manage re-credentialing cycles and oversee responses to payer audits or corrective action requests related to provider enrollment
• Own revenue readiness for every new partner or plan launch: ensure the right contracts are in place, providers are credentialed, and systems are configured before the first claim is submitted
• Collaborate with internal teams to map out the full billing setup: payer mix, covered services, fee schedules, authorization requirements, and billing rules
• Lead system configuration in AdvancedMD for new payers and partners: fee schedule loading, payer enrollment linkage, and claim routing
• Build and maintain a launch readiness checklist and timeline; flag risks early and drive cross-functional accountability to close gaps
• Serve as the RCM subject matter expert in partner implementation conversations, translating payer and billing requirements into plain language for operational and clinical stakeholders
• Review RCM KPIs and dashboards regularly and identify issues requiring payer-level intervention
• Collaborate with Clinical, Compliance, Legal, and Finance teams to align revenue cycle practices with organizational strategy and regulatory requirements

Director of Payer Relations

Chief Marketing Officer

• Deliver high-impact, multi-channel campaigns across national, regional and local markets
• Shape and execute marketing plans that build awareness, increase engagement and drive referrals across Priory’s healthcare and adult care services
• Create compelling, audience-led content, including emails, case studies, video, and promotional assets including for events, which captures attention and delivers results
• Optimize campaigns to maximize impact and ROI using insight and performance data
• Ensure content is accurate, engaging and consistently delivered across all channels
• Play a key role in wider marketing initiatives and projects

Senior Marketing Executive

Account Executive

• Engage in day-to-day sales operations and prospecting
• Identify and establish partnerships to expand Marvin’s reach
• Lead negotiations and contract redlining with health system clients
• Conduct market research to identify business opportunities
• Represent the company at industry events

Healthcare Partnerships Sales Executive

Claims Specialist

• Support the management of inquests, unexpected deaths and legal claims across our healthcare services
• Coordinate case administration
• Maintain accurate records
• Liaise with key internal and external stakeholders including Coroners, solicitors and insurers
• Ensure documentation is managed efficiently and within required timescales
• Provide support for claims activity
• Help coordinate investigations
• Monitor case progress
• Maintain compliance with legal and governance requirements

Inquest & Claims Coordinator

Manager

• Lead on the negotiation and management of contracts with NHS and Local Authority commissioners
• Support the establishment of new Block, Framework and Individual Placement Agreements
• Collaborate with Commercial Finance and Operational teams to negotiate contractual arrangements
• Ensure agreements are appropriately documented, implemented and reported
• Maintain an effective contracts database
• Provide contract reporting to support executive decision making and business strategy
• Act as an internal expert on contractual matters
• Support sites, operations and business development teams with contractual disputes, risk mitigation and compliance
• Support tender and bid activity by reviewing contractual terms and identifying potential risks within Healthcare and Adult Care opportunities

Contracts Manager

Business Development Rep

• Build and manage relationships with a range of referral partners, including GPs, consultants, therapists, and corporate partners
• Act as a trusted point of contact and drive engagement across the region
• Develop new business opportunities and promote services through targeted activity and events
• Collaborate with internal teams to ensure a seamless referral and service experience
• Identify opportunities and develop your pipeline to contribute to overall commercial growth

Director of Payer Relations

Senior Marketing Executive

Healthcare Partnerships Sales Executive

Inquest & Claims Coordinator

Contracts Manager

Business Development Manager