Senior Director Payor Relations

4 weeks ago

Frisco, United States Soleo Health Full time

Job Description

Job Description Description: 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.

#J-18808-Ljbffr

  • Senior Director Payor Relations

    2 weeks ago

    Frisco, Texas, United States Soleo Health Full time

    Job Description: Soleo Health is looking for 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...

  • Senior Director Payor Relations

    4 weeks 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,...

  • Director, Industry Relations

    7 days ago

    Frisco, United States Soleo Health Full time

    Job Description Job Description Description: Soleo Health is seeking a Director of Industry Relations to work Remotely (USA). Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases Paid Parental Leave Options Affordable Medical, Dental, &...

  • Director, Industry Relations

    2 weeks 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...

  • Director, Industry Relations

    4 weeks 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...

  • Credentialing Specialist

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription: Soleo Health is seeking a Credentialing Specialist to work Remotely (Must live in CST or EST time zone). Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental...

  • Credentialing Specialist

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription: Soleo Health is seeking a Credentialing Specialist to work Remotely (Must live in CST or EST time zone). Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental...

  • Senior Program Manager, Industry Relations

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Senior Program Manager to work Remotely (USA). Join us in Simplifying Complex Care!Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical,...

  • Senior Program Manager, Industry Relations

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Senior Program Manager to work Remotely (USA). Join us in Simplifying Complex Care!Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical,...

  • Senior Program Manager, Industry Relations

    3 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Senior Program Manager 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 IncreasesNo Weekends or HolidaysPaid Parental Leave OptionsAffordable Medical, Dental,...

  • Senior Director, Technical Marketing

    4 weeks ago

    Frisco, United States Equinix Full time

    Who are we? Equinix is the world’s digital infrastructure company®, operatingover 250 data centers across the globe.Digital leaders harness Equinix's trusted platform to bring together and interconnect foundational infrastructure at software speed. Equinix enables organizations to access all the right places, partners and possibilities to scale with...

  • Director, Senior Lead Workday Application Analyst

    5 hours ago

    Frisco, United States Teachers Insurance and Annuity Association - TIAA Full time

    This job interacts with executive leadership and others concerning matters of significance to the organization, and makes decisions that have a considerable impact on the overall success of the Workday HCM, specifically Compensation and Advance Compe Application, Director, Lead, Senior, Analyst, Workday, Technology

  • Senior Revenue Accountant

    4 weeks ago

    Frisco, United States Mark Knass Associates Full time

    Job DescriptionJob DescriptionOur Software technology client, with operations in the US and Canada, providing services using software online (SaaS) seeks a Senior Revenue Accountant to support timely and accurate expense recording, payments, cash management, annual financial audit support and weekly reporting of payment requirements. With an annual...

  • PGA of America REACH Foundation Executive Director

    4 weeks ago

    Frisco, United States PGA Full time

    Join a team of proud, passionate, and caring people that together share their diverse talents and backgrounds to serve our members and grow the game of golf. Being at the PGA of America means you are supported, respected, and appreciated for your contributions. FOUNDATION OVERVIEW: PGA of America REACH Foundation is the dynamic and growing charitable...

  • PGA of America REACH Foundation Executive Director

    4 weeks ago

    Frisco, United States teamworkonline Full time

    Join a team of proud, passionate, and caring people that together share their diverse talents and backgrounds to serve our members and grow the game of golf. Being at the PGA of America means you are supported, respected, and appreciated for your contributions. FOUNDATION OVERVIEW: PGA of America REACH Foundation is the dynamic and growing charitable...

  • Human Resources Director

    2 weeks ago

    Frisco, United States United Surgical Partners Full time

    Baylor Scott & White Medical Center Frisco is searching to hire a Human Resources Director. Job Summary: Reports to the CEO and is responsible for providing support to Senior Leadership, Management, and employees. Oversees the hiring, retention, termination, personnel records, compensation, benefit, employee relations, and FMLA/LOA processes. Understands...

  • Divisional Director Business Risk

    2 weeks ago

    Frisco, Texas, United States Comerica Full time

    Director, Divisional Business Risk and Control OfficerThe Director, Divisional Business Risk and Control Officer (BRCO) is a pivotal role in guiding the business to identify and understand risk exposures and the controls needed which are integral to reducing risk and safeguarding our customers and colleagues. The Director, Divisional BRCO leads a team who...

  • Human Resources Director

    3 weeks ago

    Frisco, United States Summit County Government (CO) Full time

    Summit County Government (SCG) is in search of a well-qualified visionary leader dedicated to implementing long-term, impactful changes that will drive long-term organizational success. The Human Resources (HR) Director will serve as a strategic leader within the county government, responsible for shaping and executing HR policies and initiatives that...

  • Reimbursement Contract Specialist

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Reimbursement Contract Specialist to work Remotely (USA) with our Payor Contracts. Home Infusion experience required. Join us in Simplifying Complex Care!Soleo Health Perks:Competitive WagesPaid Parental Leave Options401(k) with a matchGreat company cultureReferral BonusAnnual Merit Based...

  • Infusion Reimbursement Contract Specialist

    4 weeks ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Reimbursement Contract Specialist to work Remotely (USA) with our Payor Contracts. Home Infusion experience required. Join us in Simplifying Complex Care!Soleo Health Perks:Competitive WagesPaid Parental Leave Options401(k) with a matchGreat company cultureReferral BonusAnnual Merit Based...