Payor Strategy

Fay•San Francisco, CA

147d

About The Position

Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box. We’re one of the fastest growing companies in tech and the fastest growing company in wellness history. We combine clinical expertise with smart systems. The result? More affordable, effective care for the people who need it most. Behind the platform is a Marvel team of builders deeply connected to the problem we’re solving. We pride ourselves on attracting superstar talent — the kind that’s driven the best growth-to-burn metrics since early Airbnb, Stripe, and WhatsApp. Those aren’t our words, though. That’s straight from our investors at General Catalyst, Forerunner, 1984, and Goldman Sachs. If you're excited to build at the intersection of AI, healthcare, and real-world impact — we’d love to meet you. As a payor strategy leader, you will drive our payor strategy and help deepen and broaden our accessibility to more prospective patients. You have a proven history of leading payor contracting, including direct negotiations with national / local players and have strong knowledge of healthcare service payment strategies.

Requirements

proven history of leading payor contracting, including direct negotiations with national / local players
strong knowledge of healthcare service payment strategies

Responsibilities

Expand and develop a strategy for payor contracting across existing and new health plans
Proactively research, identify, build, and maintain relationships with key stakeholders at target health plans to identify opportunities for collaboration and partnership
Develop individualized partnership proposals tailored to the needs of target health plans, keeping in mind the overall goal of increasing access to and delivering quality healthcare services
Negotiate new contracts and more favorable rates to ensure maximum revenue and operational efficiency and compliance
Direct and support the launch of new markets / new states via contracting with local, regional, and national payors
Act as a highly metrics and process driven leader, optimizing collections and insurance / verification while working closely with the RCM team to develop a cohesive end to end reimbursement process
Create, drive, and track KPIs and quality indicators for payors including contract volumes, rates and benchmarks
Identify, track, and manage all contracts and contract terms; develop ongoing strategies for better contracting maintenance processes
Maintain expertise with FFS and, when appropriate, risk based contracting (VBC) payments relative to dietician practice performance, member experience measures, clinical quality measures, and other related measures that drive total cost of care
As the company continues to grow, recruit, retain, and mentor a top-tier payer function and team that can successfully scale with the organization