Payor Contracting Specialist
About The Position
SonderMind is seeking a Payor Contracting Specialist who brings precision, organization, and a process-driven mindset to a growing, fast-paced team. Reporting to the Manager of Payor Operations, you'll play a key role in ensuring the accuracy and efficiency of SonderMind's payor contracting function. In this role, you'll manage the day-to-day operational and administrative processes that support payor contracting, from data analysis and rate management to reporting and project coordination. Success in this position requires strong analytical skills, attention to detail, and the ability to drive results through organized, high-quality execution.
Requirements
- Experience: 2+ years of experience in healthcare operations, payor contracting, or a managed care setting on either the payor or provider side.
- Education: Bachelor's degree preferred.
- Skills: Deep analytical and financial acumen, strong data management capabilities, and comfort navigating both Microsoft and Google platforms.
- Strengths: Organized, proactive, and resourceful with the ability to work independently, meet deadlines, and adapt to shifting priorities.
- Communication: Excellent written and verbal communication skills with the ability to engage cross-functional partners and present information clearly.
- Mindset: Curious, motivated, and mission-driven. Eager to contribute to SonderMind's goal of improving access to high-quality mental healthcare.
Nice To Haves
- Familiarity with the mental health industry, including payors, providers, and patients is a plus.
Responsibilities
- Investigate, research and understand payor markets on a state level basis
- Payor mix analysis
- Reimbursement trends
- Products with commercial and government payors
- Review and maintain the contract life cycle 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
- Assist Payor Managers with joint operating committee calls
- Prepare agendas, organize meeting notes, and coordinate follow ups
- Create presentations utilizing data
- Support new initiatives and contracting efforts that will maximize reimbursement and/or partnership opportunities
- Research and project manage
- Maintain documentation and organize the payor contracting department databases, shared drives and other tools
Benefits
- A generous PTO policy, with a minimum of three weeks off per year
- A holiday schedule that follows standard U.S. holidays
- Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
- Competitive Medical, Dental, and Vision coverage, with plans to meet every need - including HSA (with $1,100 company contribution) and FSA options
- Employer-paid short-term disability, long-term disability, life & AD&D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
- Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 8-16 weeks of paid leave
- 401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
- Join teammates from across the country at our annual company gathering
- Company shutdown between Christmas and New Year's
- Supplemental life insurance, pet insurance, commuter benefits, and more
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Ambulatory Health Care Services
Number of Employees
101-250 employees
