Director of Payer Relations

Ginger

Remote / United States of America
  • Job Type: Full-Time
  • Function: Business Dev
  • Post Date: 05/31/2021
  • Website: ginger.io
  • Company Address: 116 New Montgomery Street, Suite 500, San Francisco, CA, 94103

About Ginger

Ginger is reinventing mental healthcare by coupling data science and virtual delivery to provide immediate, personal support for anyone. Care from our on-demand mental health system is delivered through the Ginger app, available on iOS and Android, where members can conveniently connect with Ginger’s team of behavioral health coaches - 24/7, 365 days a year. For those in need of additional support, a therapist or psychiatrist can be added to their care team. Over half a million people have access to Ginger through leading employers, health plans, and other partners. The World Economic Forum has identified Ginger’s AI technology as a Technology Pioneer, and the company was recognized as one of the top 10 Most Innovative Companies in Healthcare by Fast Company.

Job Description

At Ginger, we believe that everyone deserves access to incredible mental healthcare. Our on-demand system brings together behavioral health coaches, therapists, and psychiatrists, who work as a team to deliver personalized care, right through your smartphone. The Ginger app provides members with access to the support they need within seconds, 24/7, 365 days a year. Millions of people have access to Ginger through leading employers, health plans, and our network of partners.

Ginger has been recognized by The World Economic Forum as a Technology Pioneer and by Fast Company as one of the Most Innovative Companies in Healthcare. 

About the Role:

The Director Payer Relations brings a deep experience in health plan network operations. The individual will be responsible for supporting strategic partnerships with health plans, developing and nurturing relationships with key health plan stakeholders and managing all contract negotiations. 

Key responsibilities include: 

  • Build Payer Relations function within Ginger, including collaboration across departments and teams and alignment with financial goals
  • Develop strategy to drive strategic partnerships and maximize the value of health plan contracts
  • Negotiate in-network contracts on behalf of Ginger, including fee for service, value-based and / or other population health payment models
  • Drive end-to-end network contracting process, including plan for recontracting and renegotiation over contract lifecycle 
  • Bring market knowledge and expertise, combined with data insights, to drive negotiation and contract strategy 
  • Support Ginger's Revenue Cycle Management team in working with payer to resolve claims submission and payment issues and processes. 
  • Partner with health plan and employer teams to develop strategy to grow the number of in-network contracts, including client-specific networks 

Key Requirements

  • 8+ years of contracting and network experience 
  • Experience working with or within a health plan 
  • Health care provider contract operations, provider relations experience and/or health plan contracting experience 
  • Understanding of health plan network operations, billing, collections and payer network management 
  • Strong negotiation skills with a track record of results

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Disclaimer: Local Candidates Only
This company does NOT accept candidates from outside recruiting firms. Agency contacts are not welcome.