Director, Payor and Strategic Partnership Contracting

Position Description

The Director, Payor and Strategic Partnership Contracting is responsible for payor contracting and will provide leadership in all aspects of payor negotiations, contracting, and adapting Eleanor Health to a dynamic payor landscape and reimbursement structures. This role will also support the Chief Growth Officer and senior leadership team in contracting strategic partnerships that create additional value for Eleanor’s community members and that generate revenue and growth opportunities for our business.

Responsibilities:

• Lead the negotiation process for payor contracts, including fee-for-service, value-based, and alternative payment models.
• Negotiate partner contracts to ensure alignment with payors, partnership objectives and Eleanor Health business goals.
• Develop negotiation strategies to optimize reimbursement rates and contract terms.
• Develop contractual agreements with payors and providers, ensuring compliance with regulatory requirements and provider and program policies.
• Collaborate with legal and compliance teams to review, finalize, and execute contracts.
• Collaborate with partnership team colleagues to review contract performance and identify opportunities for improvement or renegotiation.
• Cultivate and maintain strong relationships with a network of payor organizations and strategic business partners including health insurance companies, government payors, and other stakeholders.
• Generate new opportunities and increase awareness and market knowledge of Eleanor Health through direct outreach and events.
• Collaborate with internal departments, including finance, analytics, operations, legal, compliance, and clinical teams, to align contracting strategies with organizational goals.
• Conduct market analysis to identify payor and provider trends, competitive landscape, and opportunities for partnership.
• Monitor industry changes and regulatory developments to inform contracting strategies and risk mitigation.
• Prepare and present reports on contract performance to executive leadership and relevant stakeholders and recommend adjustments to contracting strategies based on performance analysis and market dynamics.

Qualifications:

• Minimum 10 years of experience with healthcare contracting, pipeline management and growth related roles 
• Minimum 5 years direct payor or health system contracting experience.
• Minimum 3 years experience negotiating term sheets with payors and/or healthcare organizations
• Proven understanding of payor reimbursement dynamics such as alternative payment models, value based care and fee for service contract models

Preferred:

• Strong background on solution selling and proven experience selling into the payor market, preferably with value based care contracting.
• An expert at building and maintaining meaningful relationships, establishing credibility, and thinking strategically.
• Skilled in producing and delivery of an effective pitch, compelling value propositions, and care model presentations.
• Proven network within the payor markets and in-depth knowledge of the healthcare industry, payor landscape and health plan needs; behavioral health and SUD knowledge is a strong plus
• Excellent analytical and problem-solving skills to identify opportunities and drive effective strategies.
• Collaborative and team-oriented mindset to work effectively with cross-functional teams.
• Adaptability and ability to thrive in a dynamic environment.

Compensation & Benefits:

The total target compensation range for this position is $145,000 - $160,000 per year + bonus. The actual compensation offered depends on a variety of factors, which may include, as applicable, the applicant’s qualifications for the position; years of relevant experience; specific and unique skills; level of education attained; certifications or other professional licenses held; other legitimate, non-discriminatory business factors specific to the position; and the geographic location in which the applicant lives and/or from which they will perform the job.

Eleanor Health offers a generous benefits package to full-time employees, which includes:

• Vacation Time -  96 annual hours of vacation (accrued monthly, prorated for new hires) - unplug, relax, and recharge! 
• 9 observed company holidays + 3 floating holidays - We encourage you to use the additional three floating holidays to accommodate personal beliefs/practices.
• Wellness Time - 96 annual hours, granted on day 1 (prorated for new employees) - In lieu of “Sick Time” which typically applies only when you are ill, we encourage you to proactively manage your overall wellbeing, both physical and mental, as well as the wellbeing of those who play important roles in your life.
• Eleanor-paid medical and dental insurance plans, with affordable vision coverage - We are a health first company, and we strive to make our plans affordable and accessible.
• 401(k) plan with 3% match - We are excited to be able to support the long-term financial well-being of our team in a way that reinforces Eleanor’s commitment to equity.
• Short-term disability - We understand that things happen, we want you to feel comfortable to take time to get better.
• Long Term Disability - Picks up where Short Term Disability leaves off (employee paid).
• Life Insurance - Both Eleanor and employee-paid options are available.
• Family Medical Leave - Eleanor Health’s Paid Family & Medical Leave (“PFML”) is designed to provide flexibility and financial peace of mind for approved family and medical reasons such as the birth, adoption, or fostering of a child, and for serious health conditions that you or a family member/significant other might be facing.
• Wellness Perks & Benefits - Mental Health is important to us and we want our employees to have the accessibility you deserve to talk things through, zen with a mindfulness app, or seek assistance from health advocates
• Mindfulness App Reimbursement
• EAP with eight face-to-face sessions
• Virtual health and wellness visits covered by our medical plan.

About Eleanor Health

Eleanor Health is the first outpatient addiction provider delivering convenient and comprehensive care through a value-based payment structure. Committed to health and wellbeing without judgment, Eleanor Health is focused on delivering whole-person, comprehensive care to transform the quality, delivery, and accessibility of care for people affected by addiction.

To date, Eleanor Health operates multiple clinics and a fully virtual model statewide across Louisiana, Massachusetts, New Jersey, North Carolina, Ohio, Texas, Florida, and Washington, delivering care through population and value-based partnerships with Medicare, Medicaid, and employers.

If you are passionate about providing high quality, evidence based care for individuals with outpatient addiction treatment needs through an innovative practice and about building a great business that makes a difference, Eleanor Health is an ideal opportunity for you. We seek highly skilled, motivated and compassionate individuals who take responsibility and adapt quickly to change to join our deeply committed and collaborative team.

Job Type: Full-time