Finni Health
Head of Payor Strategy
US Remote
Sponsorship not specifiedDetected 27 days ago
Project ManagementStakeholder ManagementCRMProcess ImprovementEHR/EMRLeadershipCommunicationCollaborationPublic SpeakingAdaptabilityOrganizational Skills
About the role
- We've experienced rapid growth and are backed by top-tier investors like General Catalyst and Y Combinator.
- We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment.
- You will be responsible for ensuring providers successfully join and remain in-network with commercial and Medicaid payers while optimizing the performance and long-term value of our payer portfolio.
Responsibilities
- Develop and execute strategies to expand and optimize Finni's payer network.
- Partner with leadership to prioritize payer partnerships that support Finni's growth strategy and provider success.
- Build and maintain strong relationships with payer representatives to improve network access and operational performance.
- Lead and develop the team responsible for payer enrollment, contracting operations, and network maintenance.
- Establish KPIs, reporting, and operational processes to drive accountability and operational excellence.
- Identify operational bottlenecks and implement scalable solutions that improve speed, quality, and provider experience.
- Manage internal and offshore resources to ensure timely execution and consistent operational performance.
- Build systems and workflows that support rapid provider and market expansion.
- Maintain accurate contract documentation, payer records, and operational data.
- Partner with Compliance and Revenue Cycle teams to ensure adherence to payer requirements and regulatory standards.
Requirements
- Experience working with commercial and Medicaid payers is required.
- Experience with payer contracting, provider enrollment, revalidation, and network maintenance is strongly preferred.
Benefits
- Evaluate commercial and Medicaid payer opportunities based on strategic fit, reimbursement potential, and long-term business value.
- Contribute to special projects and evolving responsibilities as Finni Health continues to grow.
- 4+ years of experience in healthcare operations, payer operations, network management, revenue cycle operations, credentialing, provider enrollment, or a related healthcare function.
- Experience in behavioral health, ABA, mental health, healthcare services, or healthcare technology is preferred.
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This listing is sourced directly from Finni Health's careers page and normalized into a canonical job model.