Current jobs related to Senior Director Payor Relations - Frisco - Soleo Health Inc

  • Director, Industry Relations

    4 months ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Director of Industry Relations to work Remotely (USA). Join us in Simplifying Complex Care!Soleo Health Perks:Competitive Wages401(k) with a MatchReferral BonusPaid Time OffGreat Company CultureAnnual Merit Based IncreasesPaid Parental Leave OptionsAffordable Medical, Dental, & Vision...

  • Senior Creative Director

    4 weeks ago

    Frisco, Texas, United States Keurig Dr Pepper Full time

    Senior Creative DirectorAt Keurig Dr Pepper, we're seeking a highly skilled Senior Creative Director to lead our design team in creating innovative and impactful brand experiences. As a key member of our creative marketing agency, you'll have the opportunity to work with iconic brands like Dr. Pepper, Snapple, Keurig, and more.Key Responsibilities:Develop...

  • Senior Director of National Accounts

    4 days ago

    Frisco, Texas, United States Crete United Full time

    Unlock Your Potential with Crete UnitedCultivate a career with a leading energy management company, where innovation meets expertise. As a Senior Director, National Accounts, you will be at the forefront of driving business growth and shaping the future of energy efficiency.About the RoleAs a seasoned sales professional, you will leverage your expertise to...

  • Senior Director of Infrastructure and Operations

    1 month ago

    Frisco, United States Keurig Dr Pepper Full time

    Keurig Dr Pepper (KDP) is actively seeking a seasoned Senior Director of Infrastructure and Operations responsible for managing, optimizing, and delivery of all IT infrastructure and related IT operations used to enable business capabilities and services across the enterprise.   This includes ensuring the resiliency, availability, efficiency, security, and...

  • Director of Human Resources

    2 weeks ago

    Frisco, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are seeking a Director of Human Resources based in Frisco, Texas, 75034, United States. The role involves overseeing all aspects of the HR function, aligning HR strategies with our overall business objectives. The Director of HR will work closely with senior leadership to ensure that we attract, develop, and retain top talent...

  • Human Resources Director

    2 days ago

    Frisco, Texas, United States HEI Hotels & Resorts Full time

    Job Title: Director of Human ResourcesAt HEI Hotels & Resorts, we are seeking a highly skilled and experienced Director of Human Resources to join our team. As a key member of our leadership team, you will be responsible for developing and implementing HR strategies that drive business results and support the growth of our organization.Key...

  • Strategic M&A Director

    2 weeks ago

    Frisco, Texas, United States Keurig Dr Pepper Full time

    Director, M&A and Corporate DevelopmentThe Director, M&A and Corporate Development is a key member of the Keurig Dr Pepper team, responsible for driving the company's global M&A priorities. This role requires a strategic thinker with a strong understanding of finance and accounting, as well as excellent communication and project management skills.Key...

  • Director of Strategic Acquisitions

    1 week ago

    Frisco, Texas, United States Keurig Dr Pepper Full time

    Director, M&A and Corporate DevelopmentThe Director, M&A and Corporate Development is a key member of the Keurig Dr Pepper team, responsible for driving the company's inorganic growth strategy. This role requires a strong understanding of business valuation methodologies, financial modeling, and transaction execution.Key Responsibilities:Partner with the VP...

  • Medication Care Specialist

    3 weeks ago

    Frisco, Texas, United States Sunrise Senior Living Full time

    Job SummarySunrise Senior Living is seeking a highly skilled Medication Care Specialist to join our team. As a Medication Care Specialist, you will play a vital role in ensuring the highest quality of care for our residents by administering medications and treatments in a safe and organized manner.Key ResponsibilitiesMedication Administration: Provide...

  • Medication Care Specialist

    3 weeks ago

    Frisco, Texas, United States Sunrise Senior Living Full time

    Job SummarySunrise Senior Living is seeking a highly skilled Medication Care Specialist to join our team. As a Medication Care Specialist, you will play a vital role in ensuring the highest quality of care for our residents by administering medications and treatments in a safe and organized manner.Key ResponsibilitiesMedication Administration: Provide...

  • Director Enterprise Resiliency

    4 days ago

    Frisco, United States comerica Full time

    Enterprise Resiliency and Recovery DirectorThe Enterprise Resiliency & Recovery Director is responsible for overseeing and implementing resilience, continuity, and response capabilities to safeguard employees, customers, products, and services. Disruptions or incidents can interrupt the bank's operations and can have a broader impact on the financial sector....

  • Senior Tax Manager

    4 weeks ago

    Frisco, Texas, United States Affinity Executive Search Full time

    Position OverviewThe Senior Manager is accountable for overseeing various essential state sales tax initiatives, which include nexus assessments, taxability evaluations, comprehensive research, state and local tax audits, and reverse audit reviews aimed at identifying refund opportunities. This role also involves the preparation of detailed tax technical...

  • Senior Tax Manager

    4 weeks ago

    Frisco, Texas, United States Affinity Executive Search Full time

    Position OverviewThe Senior Manager plays a pivotal role in overseeing a variety of essential state sales tax initiatives, which include nexus evaluations, taxability assessments, research, and state and local tax audits, as well as reverse audit reviews aimed at identifying refund opportunities. This position also involves the preparation of comprehensive...

  • Senior Creative Director

    3 weeks ago

    Frisco, Texas, United States Keurig Dr Pepper Full time

    About the Role:We are seeking a highly skilled and experienced Senior Copywriter to join our team at Keurig Dr Pepper. As a Senior Copywriter, you will be responsible for creating culture-driving, business-building brand work across various mediums, including film, radio, digital, and social media.Key Responsibilities:Create compelling brand stories and...

  • Sr. Director, Projects

    3 weeks ago

    Frisco, United States Universal Orlando Full time

    Job DescriptionJOB SUMMARY Responsible for directing and managing all aspects necessary for the development of Major Attraction Projects, including all planning, budgeting, scheduling, estimating, design, construction, fabrication, delivery, and commissioning required to open the attraction within the assigned budget, quality, schedule, creative and guest...

  • Sales Tax Senior Manager

    4 weeks ago

    Frisco, Texas, United States Food Management Search Full time

    Position OverviewThe Sales Tax Senior Manager plays a pivotal role in overseeing various essential state sales tax initiatives. This includes conducting nexus and taxability assessments, performing research, managing state and local tax audits, and executing reverse audit reviews to identify refund opportunities. The position also involves drafting...

  • Senior Tax Manager

    4 weeks ago

    Frisco, Texas, United States Affinity Executive Search Full time

    Position OverviewThe Senior Manager is accountable for overseeing various essential state sales tax initiatives, which include nexus assessments, taxability evaluations, research, state and local tax audits, and reverse audit (refund opportunity) assessments. This role also involves the preparation of high-level tax technical documentation and responses to...

  • Senior Tax Manager

    4 weeks ago

    Frisco, Texas, United States Affinity Executive Search Full time

    Position OverviewThe Senior Manager plays a pivotal role in overseeing various essential state sales tax initiatives, which include nexus assessments, taxability evaluations, comprehensive research, and managing state and local tax audits, as well as reverse audit opportunities. This position also involves the creation of detailed tax technical memoranda and...

  • Sr. Director, Projects

    3 weeks ago

    Frisco, United States Universal Orlando Full time

    Job DescriptionJOB SUMMARYResponsible for directing and managing all aspects necessary for the development of Major Attraction Projects, including all planning, budgeting, scheduling, estimating, design, construction, fabrication, delivery, and commissioning required to open the attraction within the assigned budget, quality, schedule, creative and guest...

  • Senior Tax Manager

    2 weeks ago

    Frisco, Texas, United States CyberCoders Full time

    Senior Tax Manager Job DescriptionWe are seeking a highly experienced Senior Tax Manager to join our team at CyberCoders. As a key member of our tax department, you will be responsible for leading tax return preparation, supervising tax staff, and providing expert guidance to clients.Key Responsibilities:Assume responsibility for the smooth flow of tax...

Senior Director Payor Relations

4 months ago

Frisco, United States Soleo Health Inc Full time
Job DescriptionJob DescriptionDescription:

Soleo Health is seeking a Sr. Director Payor Relations to support our Specialty Pharmacy and Home Infusion operations. Join us in Simplifying Complex Care

Soleo Health Perks:

  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program


The Position:

The Senior Director of Payor Relations is an executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company. This executive will play a critical role in shaping the company’s approach to healthcare contracting and network management at a national level. The Senior Director will lead efforts to optimize the reimbursement Soleo receives for its services through various payor relations strategies, ensuring they align with the company's long-term strategic and financial objectives and maximize the company’s earnings potential. Responsibilities Include:

  • Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies. Drive the achievement of contracted sales goals and enhance market share and profitability.
  • Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure competitive and sustainable growth.
  • Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and Regional Vice Presidents.
  • Oversee detailed financial analyses of Payor contracts to assess the earnings impact of new contracts, as well as renewals and material network changes.
  • Manage budget projections for pricing and assess financial performance of payor contracts.
  • Ensure Payors are reimbursing Soleo at the contracted rates and that reimbursement is timely.
  • Enhance Soleo’s contracting strategy to maximize value (where applicable) using national contracts with chain codes vs. individually contracted pharmacies.
  • Serve as the primary executive contact for major external partners, including hospitals, Payor organizations, and manufacturers. Build and maintain strategic relationships to bolster business objectives.
  • Oversee the design and implementation of advanced sales training programs that focus on Payor relations, contract comprehension, opportunities, and associated risks.
  • Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded Payor agreements.
  • Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals (i.e., Soleo’s participation in limited payor networks).
  • Maintain and update the company's strategy in response to healthcare legislation changes. Act as a subject matter expert to guide Payor Relations policies and practices.
  • Perform other duties as assigned.
  • Partner with Revenue Cycle Management team to defend Soleo’s interests in payor audits.


Requirements:
  • Bachelor’s degree in a related field such as business administration, economics or finance with a minimum of 10 years in Payor Relations and Contracting including significant leadership experience in complex healthcare environments.
  • Advanced degrees such as an MBA or Juris Doctorate preferred.
  • Strong communication, negotiation, and leadership skills.
  • Proven track record of leading high-performing teams and effectively managing senior-level projects and initiatives.
  • Exceptional capability in analyzing complex data, identifying strategic insights, and employing them to improve business performance and operational efficiencies.
  • Expertise in developing and delivering strategies and business plans to a variety of stakeholders, including executive leadership, board members and external partners.
  • Operates effectively and successfully in fast-paced high growth environment. Capable of managing multiple, high-stakes projects in parallel with one another.
  • Willingness and ability to travel extensively, often exceeding 50% of the time, to meet business needs.


About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference


Soleo’s Core Values:

  • Improve patients’ lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.


Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.