Senior Director of Market Access, Payor Strategy, and Contracting
1 month ago
City: California
Team: Finance
Working Time: Full-Time
Description & RequirementsCompany Description
Intercare Therapy, Inc. (ICT) provides evidence‐based behavior services that support individuals with autism and related disorders and their families. Our mission is to increase independence and improve the quality of life of our client families. As an organization, we strive to be:
- The employer of choice for all staff, by providing a long-term career opportunity, supportive and collaborative organizational culture, and fulfilling individualized professional experience and development.
- The preferred service provider to our clients, families and funding sources, providing high quality clinical care and high‐touch customer service.
Position Overview
The Senior Director of Market Access, Payor Strategy, and Contracting is a key leadership role reporting directly to the Senior Vice President of Finance & Operations. This position is responsible for developing and executing strategies to ensure Intercare Therapy's services are accessible to clients and their families across the nation via payor contracting and relationship management. The role involves partnership with Finance, Operations, and Compliance functions across the Intercare organization as well as the Executive Leadership Team (ELT) with regards to growth strategy and rate negotiation. The ideal candidate will be a high-impact individual who can work cross-functionally possessing deep expertise in the payer environment, particularly within the behavioral health industry.
Key Responsibilities
Contracting & Negotiations
- Develop and implement market access strategies for Intercare Therapy's service portfolio.
- Lead negotiations for favorable contractual terms for Intercare Therapy.
- Prepare and implement annual contracting plans.
- Participate in the development of new business programs/ventures that include new payment arrangements with third-party payers and employers.
Contract Management & Payer Compliance
- Design and execute short, mid, and long-term reimbursement strategies to support business growth.
- Develop and maintain systems for oversight and monitoring of payer and staff compliance with contracts.
- Provide oversight and direct leadership of payer operational meetings and escalate disputes related to payer policies and material claims disputes.
- Ensure compliance with contract terms, pricing agreements, and regulatory requirements.
Payer Relations
- Build and maintain relationships with key stakeholders, including insurance providers, school districts, and other funding sources.
- Develop and maintain appropriate working relationships with decision-makers in third-party payers, insurance companies, employers, and government entities.
- Conduct presentations and market Intercare Therapy to third-party payers, government officials, and employers.
Data Analysis & Pricing
- Conduct in-depth market research and analysis to understand industry trends, payer requirements, and competitive dynamics.
- Develop analytical reports to demonstrate the financial impact of current and proposed arrangements for contracts.
- Review all contract fee schedules annually for appropriate maintenance and compliance.
- Recommend annual fee schedule changes and pricing policies.
Additional Responsibilities
- Support the ELT in organization-wide project management and prioritization of business initiatives.
- Support in development of the steps required for Intercare Therapy's expansion into new states.
- Lead the development of tools to model contracts and monitor payor performance.
- Communicate changes in payer policies and contract terms to stakeholders company-wide.
Qualifications and Skills
Required:
- Bachelor's degree in Healthcare Administration, Business, Economics, or a related field.
- 7+ years of work experience in healthcare, contracting, or a related job discipline.
- Strong knowledge of healthcare reimbursement systems, coding principles, and billing regulations.
- Excellent communication, negotiation, and interpersonal skills.
- Strong analytical and problem-solving skills, with experience in market research and data analysis.
- Ability to work independently and make priority determinations without direct supervision.
Preferred:
- Master's degree (MBA or MHA).
- Healthcare contracting experience.
- Negotiation experience (contracts).
- Experience reviewing payer policies.
- Experience with project management, workflow management, and EMR systems used in contract and revenue cycle management.
- Ability to thrive in a fast-paced, dynamic environment, remaining focused and composed in stressful situations.
-
Los Angeles, United States Intercare Therapy Full timeGeneral information ...
-
Market Access Oncology Director Lead
7 hours ago
Los Angeles, California, United States Incyte Corporation Full timeJob Summary:The Incyte Corporation seeks a seasoned oncology professional to drive commercial growth within community oncology groups, large networks, and key accounts. As the Director of Corporate & Group Purchasing Organization Accounts, you will develop and execute our GPO strategy to enhance customer value propositions.This role is pivotal in unlocking...
-
Marketing Strategy Director
11 hours ago
Los Angeles, California, United States cesna Full timeJob OverviewCesna is seeking a highly skilled Marketing Strategy Director to spearhead its brand marketing efforts. This role requires a seasoned professional with expertise in developing and executing integrated marketing campaigns that drive business growth.Key ResponsibilitiesLead the annual marketing communication planning process, collaborating with...
-
Los Angeles, California, United States Avature Full timeJob SummaryWe are seeking a highly skilled Strategic Director of Healthcare Partnerships and Revenue Growth to join our team at Avature. In this key leadership role, you will be responsible for developing and executing strategies to ensure our services are accessible to clients across the nation via payor contracting and relationship management.About the...
-
Director, Market Access Corp.
6 days ago
Los Angeles, United States Incyte Corporation Full timeOverviewIncyte is a biopharmaceutical company focused on the discovery, development, and commercialization of novel medicines to meet serious unmet medical needs in oncology and inflammation and autoimmunity. Incyte is committed to the rigorous pursuit of research and development excellence to improve the lives of patients, make a difference in health care,...
-
Los Angeles, California, United States Critical Mass Full timeAbout the RoleWe are seeking a highly skilled Lead Creative Director to join our team at Critical Mass. As an Associate Creative Director, you will bring creative vision and strategic thinking to projects, driving innovative marketing strategies that deliver exceptional results.Key ResponsibilitiesContribute creative solutions and innovations to drive...
-
Los Angeles, California, United States Taylor Root Full timeTaylor Root is seeking an experienced Senior Director, Business & Legal Affairs to join their in-house legal team in Los Angeles. This dynamic role offers the opportunity to oversee a wide range of legal matters, negotiate and draft contracts, and advise on business strategies.Job OverviewThe Senior Director, Business and Legal Affairs will be responsible...
-
Director, Market Access Corp.
6 days ago
Los Angeles, United States Incyte Corporation Full timeOverviewIncyte is a biopharmaceutical company focused on the discovery, development, and commercialization of novel medicines to meet serious unmet medical needs in oncology and inflammation and autoimmunity. Incyte is committed to the rigorous pursuit of research and development excellence to improve the lives of patients, make a difference in health care,...
-
Director of Pop Music Marketing Strategies
5 hours ago
Los Angeles, California, United States Musicbusinessworldwide Full timeMusic Marketing Leader WantedWe are seeking a seasoned marketing professional to spearhead the development and execution of comprehensive marketing strategies for our distinguished roster of Pop artists.About the RoleIn this pivotal executive position, you will oversee a high-performing team and collaborate closely with various departments, including A&R,...
-
Marketing and Sales Director
3 weeks ago
Los Angeles, United States Ciminocare Full timeJoin Our Team as our Full-Time Marketing and Sales Director for Senior Living/Assisted Living and elevate your career in a fulfilling environment. This position offers the exhilarating chance to lead dynamic marketing initiatives and drive sales efforts while making a meaningful impact on the lives of seniors. You will collaborate with dedicated...
-
Associate Director of Marketing
2 days ago
Los Angeles, United States Contact Discovery Services Full timeAssociate Director of Marketing Contact Discovery Services - Washington, DC Location: Remote Start Date: Negotiable Position Overview: A leading eDiscovery technology and consulting firm headquartered in Washington, DC is looking for a qualified and experienced Associate Director of Marketing. In this role, you will play a pivotal part in developing and...
-
Marketing and Sales Director
3 weeks ago
Los Angeles, United States CiminoCare Full timeJoin Our Team as our Full-Time Marketing and Sales Director for Senior Living/Assisted Living and elevate your career in a fulfilling environment. This position offers the exhilarating chance to lead dynamic marketing initiatives and drive sales efforts while making a meaningful impact on the lives of seniors. You will collaborate with dedicated...
-
Director, Social Strategy
3 months ago
los angeles, United States Cypress HCM Full timeDirector of Social StrategyJob Overview:The Director of Social Strategy will be responsible for developing and overseeing innovative social media strategy and campaigns across all social channels to increase brand awareness and drive growth.Duties & Responsibilities:Social MediaLead the overall management and growth of social media platforms globallyHelp...
-
Director, Social Strategy
2 months ago
Los Angeles, United States Cypress HCM Full timeDirector of Social StrategyJob Overview:The Director of Social Strategy will be responsible for developing and overseeing innovative social media strategy and campaigns across all social channels to increase brand awareness and drive growth.Duties & Responsibilities:Social MediaLead the overall management and growth of social media platforms globallyHelp...
-
Director, Social Strategy
3 months ago
los angeles, United States Cypress HCM Full timeDirector of Social StrategyJob Overview:The Director of Social Strategy will be responsible for developing and overseeing innovative social media strategy and campaigns across all social channels to increase brand awareness and drive growth.Duties & Responsibilities:Social MediaLead the overall management and growth of social media platforms globallyHelp...
-
Director, Social Strategy
3 months ago
Los Angeles, United States Cypress HCM Full timeDirector of Social StrategyJob Overview:The Director of Social Strategy will be responsible for developing and overseeing innovative social media strategy and campaigns across all social channels to increase brand awareness and drive growth.Duties & Responsibilities:Social MediaLead the overall management and growth of social media platforms globallyHelp...
-
Senior Director, Product Marketing
4 weeks ago
Los Angeles, United States GoGuardian Full timeThe GoGuardian marketing team is seeking an exceptional Senior Director, Product Marketing to shape and drive the overall product marketing strategy across our portfolio and lead centralized research for the company. This leader will play a pivotal role in driving product success and business growth. Key responsibilities include: conducting market analysis...
-
Marketing Communications Director
2 days ago
Los Angeles, United States American Heart Association Full timeOverview As we celebrate our Centennial year, we invite you to join us in shaping the next century of impact. Be a relentless force for a world of longer, healthier lives as we remain devoted to a future of health and hope for everyone, everywhere. At the American Heart Association, your contribution matters, and so does your career. The American Heart...
-
Los Angeles, United States IMG Live Full timeSenior Account Director, Entertainment Marketing Who We Are: 160over90 is a full-service cultural marketing agency. An integrated part of the Endeavor network, which includes entertainment agency WME and sports, fashion and events leader IMG, 160over90s cultural insight, access and influence helps brands stay connected to what their consumers care about...
-
Chief Marketing Director
5 hours ago
Los Angeles, California, United States Tripalink Corp Full timeAbout the RoleAs Chief Marketing Director at Tripalink Corp, you will lead all marketing and growth initiatives to align with business model goals. You will create and build relationships with external stakeholders, partnerships, and customers, negotiate partnership and client contracts, and lead social media & PR efforts.Responsibilities:Create and lead...