VP of Payor Contracting

Job not on LinkedIn

October 14

☕ Washington – Remote

Although this job is listed in Washington, this company may be open to hiring remote in other states.

💵 $195k - $230k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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SleepDoctor

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Healthcare Insurance • SaaS • Wellness

SleepDoctor is a company that specializes in providing comprehensive solutions for sleep-related health issues, both online and at home. They offer diagnostic services for sleep disorders such as sleep apnea and insomnia, providing tailored treatment plans based on scientific research and expert guidance. SleepDoctor also develops specialized software for sleep specialists and other healthcare professionals to integrate into their practices. They are committed to data security and compliance, ensuring the privacy of patient information is maintained. With a team of recognized experts in the sleep medicine field, SleepDoctor aims to promote better sleep health across diverse patient demographics.

2 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧘 Wellness

📋 Description

• Create and lead a national, multi-year commercial payor contracting strategy for both our integrated PC (clinical) and DME (equipment) entities to achieve core business growth objectives • Lead all negotiations to secure new and/or improved commercial contracts, ensuring optimal reimbursement rates and favorable utilization terms for both professional sleep services and Durable Medical Equipment • Help develop financial models to evaluate contract performance, monitor KPIs, and ensure profitable network participation across all contracts • Work directly with the RCM and Finance teams to ensure all negotiated contract terms are accurately loaded, interpreted, and operationalized for proper claims submission and payment • Oversee all contracting activities to ensure strict adherence to federal and state healthcare regulations (e.g., Stark Law, Anti-Kickback Statute, HIPAA) and manage the timely credentialing process • Serve as the primary liaison for all commercial payor relationships, providing strategic direction, and leading future contracting and team development efforts

🎯 Requirements

• Minimum of 10 years of progressive experience in healthcare payor contracting, with at least 5 years in a leadership/VP role. • Proven track record of successfully negotiating commercial payor contracts for both a Professional Corporation (physician/clinical services) and a Durable Medical Equipment (DME) entity, ideally at a national level. • Deep understanding of provider reimbursement methodologies (Fee-for-Service, Value-Based Care, CPT/HCPCS coding, DRGs, etc.) specific to both PC and DME services. • Exceptional negotiation, communication (written and verbal), and presentation skills. • Strong financial acumen and ability to analyze complex financial data, contract language, and reimbursement models.

🏖️ Benefits

• Medical, vision, and dental insurance • 100% of employee medical, vision, and dental premiums covered by the Company • Option to participate in both a medical FSA and dependent care FSA • 401(k) plan with fully matching contributions up to 3% of salary and 50% matching from 3% to 5% • Paid Time Off in accordance with the Company’s policies • Commuter benefits for Seattle-based employees