Manager, Payor Strategy
SMU Business Intelligence and Analytics
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $120,000 - $130,000 per year
About the role
- Lead negotiations for new and existing payor agreements, including reimbursement rates, financial terms, and contract language, in alignment with SonderMind’s financial and strategic goals
- Own the full contracting lifecycle: from initiating new agreements and amendments through execution, implementation, and operational readiness
- Develop negotiation strategies informed by market dynamics, data analysis, and organizational priorities
- Review and analyze contract language and reimbursement methodologies; recommend modifications that support business objectives and mitigate risk
- Track and report contract status, renewal timelines, negotiated terms, and key performance metrics
- Build and maintain strong relationships with payor partners; prepare and deliver materials for payor presentations and recurring business reviews
- Collaborate closely with cross-functional partners including Revenue Cycle, Credentialing, Finance, Legal, Product, and Customer Service to ensure contracts can be operationalized effectively and meet service standards
- Support additional projects and initiatives as needed based on business priorities
Requirements
- BA/BS in Business Administration, Healthcare Administration or related degree
- Minimum five years experience negotiating payor and/or provider agreements
- Knowledge of managed care regulations and laws related to health care, preferably in behavioral health
- Experience with alternative payment models, such as Value Based Programs, Risk Arrangements, and Case Rates
- Ability to work remotely and to travel to the corporate office and to payor visits or conferences.
- Strong negotiation and interpersonal skills: written, verbal, analytical
- Motivated and influential – proactive with the ability to adhere to deadlines; work to “get the job done” in a fast-paced environment.
- Self-starter with the ability to multitask.
Benefits
- A commitment to fostering flexible hybrid work
- A generous PTO policy with a minimum of three weeks off per year
- Free therapy coverage benefits to ensure our employees have access to the care they need (must be enrolled in our medical plans to participate)
- Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA ($1,100 company contribution) and FSA options
- Employer-paid short-term, long-term disability, life & AD&D to cover life's unexpected events. Not only that, we also cover the difference in salary for up to seven (7) weeks of short-term disability leave (after the required waiting period) should you need to use it.
- Eight weeks of paid Parental Leave (if the parent also qualifies for STD, this benefit is in addition, which allows between 8-16 weeks of paid leave)
- 401K retirement plan with 100% matching which immediately vests on up to 4% of base salary
- Travel to Denver 1x a year for annual Shift gathering
- Fourteen (14) company holidays
- Company Shutdown between Christmas and New Years
- Supplemental life insurance, pet insurance coverage, commuter benefits and more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
negotiationcontract managementdata analysisreimbursement methodologiesfinancial analysisalternative payment modelsValue Based ProgramsRisk ArrangementsCase Rates
Soft Skills
interpersonal skillsnegotiation skillsanalytical skillswritten communicationverbal communicationmotivatedinfluentialproactivemultitaskingdeadline adherence
Certifications
BA/BS in Business AdministrationBA/BS in Healthcare Administration