Strategic Payer Engagement Director

1 week ago

Los Angeles, California, United States Intercare Therapy Full time

About the Role

\

The Senior Director of Market Access, Payor Strategy, and Contracting is a key leadership position at Intercare Therapy. This role reports directly to the Senior Vice President of Finance & Operations and involves developing and executing strategies to ensure access to clients and their families across the nation via payor contracting and relationship management.

\

Main Responsibilities

\
  • \
  • 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.\
  • 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.\
  • 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.\
  • 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.\
  • 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.\
  • Analytical and problem-solving skills, with experience in market research and data analysis are crucial for this role.\
  • A Bachelor's degree in Healthcare Administration, Business, Economics, or a related field is required, with 7+ years of work experience in healthcare, contracting, or a related job discipline.\
  • Strong knowledge of healthcare reimbursement systems, coding principles, and billing regulations is necessary.\
  • Excellent communication, negotiation, and interpersonal skills are essential for success in this role.
\

About Intercare Therapy

\

Intercare Therapy provides evidence-based behavior services that support individuals with autism and related disorders and their families. The mission is to increase independence and improve the quality of life of client families. As an organization, Intercare Therapy strives to be the employer of choice for staff, the preferred service provider to clients, families, and funding sources, and to provide high-quality clinical care and customer service.

\

About the Position

\

This position offers an estimated salary of $160,000 - $190,000 per year, reflecting the demands of the role and the expectations of the successful candidate. The ideal candidate will possess a deep understanding of the payer environment, particularly within the behavioral health industry, as well as excellent analytical and problem-solving skills.

  • Strategic Engagement Director

    4 weeks ago

    Los Angeles, California, United States Occidental College Full time

    Assistant Vice President for Strategic EngagementLocated at Occidental College, we are seeking a highly skilled Assistant Vice President for Strategic Engagement to spearhead our Institutional Advancement division. Reporting directly to the Vice President of Institutional Advancement, this pivotal role requires exceptional leadership and strategic vision to...

  • Strategic Director of Healthcare Partnerships and Revenue Growth

    1 month ago

    Los Angeles, California, United States Avature Full time

    Job 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...

  • Strategic Director of Healthcare Access and Partnerships

    3 weeks ago

    Los Angeles, California, United States Intercare Therapy Full time

    About Intercare TherapyWe are a leading provider of evidence-based behavior services supporting individuals with autism and related disorders.Our Mission:To increase independence and improve the quality of life of our client families through expert care and innovative solutions.The Role:This is an exciting opportunity for a highly skilled and experienced...

  • Strategic Corporate Engagement Specialist

    1 week ago

    Los Angeles, California, United States Los Angeles LGBT Center Full time

    Company Overview: The Los Angeles LGBT Center is a renowned organization dedicated to serving the LGBTQ community.About the Role: We are seeking an experienced Strategic Corporate Engagement Specialist to join our Development team. As a key member of our Corporate Relations team, you will be responsible for cultivating relationships with corporate partners...

  • Strategic Communications Director

    4 weeks ago

    Los Angeles, California, United States Gensler Full time

    About Gensler\Gensler is a global architecture, design, and planning firm that designs for people. Our global perspective and local presence enable us to innovate at every scale.\We leverage our entrepreneurial spirit, passion for design, and commitment to our clients to create impactful solutions. Our People First culture and One Firm-Firm motto promote...

  • Strategic Program Director

    1 month ago

    Los Angeles, California, United States Savvy HR Partner Full time

    About the RoleAt Savvy HR Partner, we are seeking a highly skilled Strategic Program Director to lead our team in driving radical transformation in health by helping Medicaid-managed care plans, health systems, and social sector clients advance health equity and improve the social and structural drivers that put patients and communities in harm's way.Better...

  • Development Director

    1 week ago

    Los Angeles, California, United States NRG Consulting Group Full time

    OverviewNRG Consulting Group is a leading organization in the field of philanthropy and nonprofit management. Our team is dedicated to helping organizations achieve their mission and goals through effective fundraising, community engagement, and strategic partnerships.

  • Strategic Operations Director

    1 month ago

    Los Angeles, California, United States Cosm Full time

    Cosm is a pioneering technology company revolutionizing immersive experiences. Our mission is to push the boundaries of innovation and create captivating environments that blur the lines between reality and virtual worlds.About UsWe are a global leader in experiential technology, shaping the future of sports, entertainment, science, education, and parks...

  • Strategic Relationship Director

    3 weeks ago

    Los Angeles, California, United States Coatue Management L.L.C. Full time

    At Coatue Management L.L.C., we are seeking a Strategic Relationship Director to lead our high-value account management team. This role is ideal for an experienced leader with a proven track record in building and scaling teams within high-growth environments.The Strategic Relationship Director will be responsible for designing and implementing strategies to...

  • Director of Strategic Growth

    1 week ago

    Los Angeles, California, United States Virtual Staffing Inc. (DBA Legal Soft) Full time

    Job Title: Director of Strategic GrowthWe are seeking a seasoned executive to join our leadership team as Director of Strategic Growth. In this role, you will be responsible for developing and executing strategies to drive business growth, improve operational efficiency, and lead high-performing teams.Competitive salary: $200,000 per annum. The ideal...

  • Strategic Innovation Director

    1 week ago

    Los Angeles, California, United States Movement Innovation Collaborative Full time

    Job DescriptionWe are seeking a highly skilled and experienced Strategic Innovation Director to lead our Movement Strategy and Innovation (MS&I) program. The ideal candidate will have a strong track record of building relationships with progressive organizational leaders, leveraging lived experience to drive meaningful results, and fostering innovation and...

  • Strategic Sales Director

    1 week ago

    Los Angeles, California, United States Journal Hotels Full time

    Job DescriptionWe are seeking a highly skilled Strategic Sales Director to join our team at Journal Hotels.About the Role:The Strategic Sales Director will be responsible for developing and executing sales strategies that meet or exceed defined hotel sales budgets. This role requires a strong ability to communicate effectively with guests, coworkers, and...

  • Strategic Learning Director

    1 week ago

    Los Angeles, California, United States Movement Innovation Collaborative Full time

    About the RoleWe are seeking a highly skilled Strategic Learning Director to join our team at the Movement Innovation Collaborative.About the Position:This is a leadership role within our new Program Team, focusing on strategic and operational management in the startup phase of MIC.Key Responsibilities:Develop the overall learning and innovation strategy for...

  • Strategic Operations Director

    1 week ago

    Los Angeles, California, United States The Restaurant Zone Full time

    Job OverviewWe are seeking a seasoned leader to drive operational success and strategic growth as the Director of Strategic Operations. This hybrid role allows for collaboration with flexibility, requiring one in-office day per week.The ideal candidate will have proven leadership experience in multi-unit restaurant operations or a similar environment, with a...

  • Strategic Innovation and Marketing Executive

    3 weeks ago

    Los Angeles, California, United States Alliance College-Ready Public Schools Full time

    About Alliance College-Ready Public SchoolsAlliance College-Ready Public Schools is a leading nonprofit public charter school network, operating 26 high-performing middle and high schools that educate nearly 13,000 scholars from diverse backgrounds. Our mission is to provide unparalleled educational opportunities that foster scholarly thought, resilient...

  • Director of Engagement and Collaboration

    2 weeks ago

    Los Angeles, California, United States AbbVie Full time

    About AbbVie">AbbVie is a pioneering biopharmaceutical company that seeks to revolutionize healthcare by discovering and delivering cutting-edge medicines and solutions. Our unwavering commitment is to improve people's lives across various therapeutic areas, including immunology, oncology, neuroscience, and eye care.">Estimated Salary Range: $140,000 -...

  • Strategic Marketing Director

    2 months ago

    Los Angeles, California, United States HireIO Full time

    At HireIO, we're seeking a seasoned Strategic Marketing Director to lead our brand's growth and expansion into the gaming and blockchain industries.This role requires a creative and results-driven professional who can develop and execute marketing strategies that drive engagement, adoption, and revenue growth.The ideal candidate will have a strong background...

  • Strategic Technology Program Director

    3 weeks ago

    Los Angeles, California, United States City National Bank Full time

    Job OverviewWe are seeking a seasoned Strategic Technology Program Director to join our team at City National Bank. This is an exciting opportunity for a highly skilled professional to lead complex technology projects and programs while driving business outcomes. If you have a passion for delivering successful projects, leading cross-functional teams, and...

  • Strategic Operations Director

    1 week ago

    Los Angeles, California, United States The Restaurant Zone Full time

    Are you a seasoned leader with a passion for driving growth and innovation in the restaurant industry?This is an exceptional opportunity to play a pivotal role in shaping the future of our brand and elevating the dining experience for guests.We're seeking a highly skilled Strategic Operations Director to guide our teams to excellence and spearhead...

  • Strategic Director of Low Voltage Therapies

    6 days ago

    Los Angeles, California, United States Abbott Laboratories Full time

    About Abbott LaboratoriesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals, and branded generic medicines.We have a team of over 114,000 colleagues serving...