About the Role
SonderMind is searching for a Payor Contracting Specialist who is a dynamic and process-driven individual with a strong attention to detail to join our growing team. Reporting to the Manager of Payor Contracting, the Payor Contracting Specialist will be responsible for managing and supporting the administrative and operational functions of the managed care contracting department, on a regional and national level.
Essential Functions
The Payor Contracting Specialist will be a key member of the team supporting the overall strategy of the payor contracting department and will primarily focus on the following functions:
- Investigate, research and understand payor markets on a state level basis
- Payor mix analysis
- Reimbursement trends
- Products with commercial and government payors
- Develop and maintain strong relationships with payor partners
- Responsiveness to emails
- Identify and document chain of command
- Implementation of the contract life cycle process
- Communicate and follow up with payors to secure new in network agreements (application process)
- Load payor contracts into designated contract management database
- Track red-line agreements back and forth to the payors
- Prepare Agreements for signature
- Internal new payor announcements
- Payor Contract rate management
- Load new payor rates into designated database with accuracy as a focus
- Seek out fee schedules on a quarterly basis to identify any changes
- Proactively review fee schedules against insurance allowed amounts
- Lead payor account joint operating committee calls
- Set up recurring meetings
- Prepare agenda, organize meeting notes, and coordinate follow ups
- Create powerpoint presentations and drive the meeting
- Resolve and facilitate cross-functional payor related issues
- Contractual discrepancies
- Reimbursement discrepancies
- Credentialing delays
- Support new internal strategic partnerships and offerings
- Maintain documentation and organize the payor contracting department databases, shared drives and other tools
What does success look like?
- Within one month, have an understanding of SonderMind’s product/offerings and an ability to communicate this with confidence; develop a familiarity with internal systems needed to perform the role.
- Within three months, manage a portfolio of payor contracts (either new or existing), demonstrating a level of understanding of contract language terms and owning activities needed to administer and operationalize the contract(s).
- After three months, with the guidance and support of department leadership, contribute to the implementation of efficiences to decrease overall contracting timeframes and increase accuracy of contract administration tasks. Become a subject matter expert on the portfolio of payor contracts owned, acting as the key internal resource for cross functional partners and the external partner to assigned payors.
Who You Are
Education/Experience required for the role:
- Minimum 2 years experience.
- Bachelor’s degree preferred.
- Motivated and detail oriented.
- Strong interpersonal skills: written, verbal and analytical.
- Ability to work independently, adhere to deadlines and work in a fast paced environment.
- Experience working on the payor side and/or provider side, preferably in payor contracting or managed care setting.
- Strong data management skills.
- Ability to use Microsoft and Google platforms.
Our Benefits
The anticipated salary range for this role will be $70,000-80,000 per year.
As a leader in redesigning behavioral health, we are walking the walk with our employee benefits. We want the experience of working at SonderMind to accelerate people’s careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their life and work.
Our benefits include:
- A commitment to fostering flexible hybrid work
- A generous PTO policy with a minimum of three weeks off per year
- Free therapy coverage benefits to ensure our employees have access to the care they need (must be enrolled in our medical plans to participate)
- Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA ($1,100 company contribution) and FSA options
- Employer-paid short-term, long-term disability, life & AD&D to cover life’s unexpected events. Not only that, we also cover the difference in salary for up to seven (7) weeks of short-term disability leave (after the required waiting period) should you need to use it.
- Eight weeks of paid Parental Leave (if the parent also qualifies for STD, this benefit is in addition which allows between 8-16 weeks of paid leave)
- 401K retirement plan with 100% matching which immediately vests on up to 4% of base salary
- Travel to Denver 1x a year for annual Shift gathering
- Fourteen (14) company holidays
- Company Shutdown between Christmas and New Years
- Supplemental life insurance, pet insurance coverage, commuter benefits and more!
Application Deadline
This position will be an ongoing recruitment process and will be open until filled.
Equal Opportunity
SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.