Payer Partnerships Director

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $168k - $231k / year

⏰ Full Time

🔴 Lead

💰 Account Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 12%

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Logo of Lyra Health

Lyra Health

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $235M Series F on 2022-01

Healthcare • Healthcare Insurance • SaaS

Lyra Health is a mental health company that partners with organizations to deliver comprehensive and effective global workforce mental health benefits. By providing evidence-based mental health care, Lyra Health boosts employee well-being and drives business impact. Their platform offers high-quality mental health support through a global network of professionals, utilizing AI matching technology to connect members quickly with suitable providers. Lyra Health serves families, couples, adults, and children, offering support for diverse mental health needs. Their programs aim to improve employee health, productivity, and reduce healthcare costs while providing a seamless member experience.

📋 Description

• Lead the end-to-end payer contracting strategy to secure net-new contracts and expand payer coverage in key target markets • Negotiate rates, terms, and contract language with national and regional health plans • Drive the contracting roadmap from initial outreach to contract execution and implementation • Partner with Operations, Business Development, and Clinical leadership to understand market activation strategy and prioritize contracting targets • Translate market expansion and business development goals into targeted network development initiatives • Serve as a subject matter expert on the payer landscape for internal cross-functional teams • Cultivate and manage long-term relationships with decision-makers and network managers at health plans • Act as the primary relationship owner for payer partners • Analyze market trends, competitive intelligence, and reimbursement landscapes • Track and report on contracting KPIs and network adequacy • Adjust and reprioritize strategies to optimize access to care for members

🎯 Requirements

• 12+ years of progressive experience in payer contracting, network development, or managed care, preferably within the digital health, behavioral health, or health tech space • Proven track record of successfully sourcing, negotiating, and executing complex fee-for-service and/or value-based contracts with national and regional health plans • Significant experience driving alignment across business development, operations, and executive teams to push toward a shared market strategy • Deep understanding of the health plan landscape, credentialing processes, reimbursement methodologies, and regulatory requirements • Self-starter who thrives in fast-paced, ambiguous environments • Proven ability to independently build net-new relationships and navigate long, complex sales/contracting cycles

🏖️ Benefits

• Discretionary bonuses • Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) • Lyra for Lyrians; coaching and therapy services • Equity in the company through discretionary restricted stock units • Competitive time off with pay policies including vacation, sick days, and company holidays • Paid parental leave • 401K with up to 3% matching • Monthly tech allowance • Well-being perks and activities • Surprise swag • Regular community celebration

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