Payer Contracting Consultant

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  • Company Remo Health
  • Employment Part-time
  • Location 🇺🇸 United States nationwide
  • Submitted Posted 1 week ago - Updated 9 hours ago

We are looking to hire an experienced Payer Contracting Consultant who can help us expand access to Remo's Innovative dementia care services.

The ideal candidate possesses a strong understanding of the healthcare payer landscape, excellent negotiation skills, and a proven track record of success in contract execution.

This is  a six-month 1099 contract with the possibility of extending or expanding  based on individual performance and company growth. 

About the Company

Remo is building the new standard of dementia care. As a virtual dementia care provider, our expert clinical team designs personalized, comprehensive care around patient and family needs (instead of a one-size-fits-all approach). We empower family caregivers by connecting them with a vibrant community of other caregivers, expert content, and tools to manage the entire dementia journey – from anywhere, at any time. Our mission is simple – to provide accessible, comprehensive, quality dementia care for every person who needs it.

About the Payer Contracting Consultant Role

This role will play a crucial part in expanding access to Remo's innovative dementia care services by securing contracts for our affiliated medical practice with payers in multiple states. 

What you'll be doing :

  • Manage the entire contracting lifecycle with persistence. 

  • Experience negotiating MA plans

  • Identify and prioritize potential payer partners in targeted states.

    • A prioritized list of 20+ payers has already been compiled.

  • Clearly articulate Remo’s unique value proposition. 

  • Develop and maintain strong relationships with payer representatives.

  • Oversee or complete and submit payer applications with accuracy and attention to detail.

  • Negotiate favorable reimbursement rates and contract terms and incorporate knowledge of the market, value based care models and alternative payment arrangements into contract negotiations.

  • Track the progress of contract applications and maintain detailed records.

  • Communicate effectively with internal and external stakeholders regarding contract status and any roadblocks.

  • Proactively identify and resolve issues that may hinder contract execution.

  • Stay informed about industry trends, regulations, and payer policies.

  • Collaborate with internal teams (e.g., clinical, operations, finance) to ensure smooth contract implementation.

  • Contribute to the development and improvement of payer contracting processes.

  • Facilitate contract execution in collaboration with General Counsel.

What we're looking for :

  • Deep experience in payer negotiations

  • Successful experience in negotiating fees

  • Experience in a start up environment

  • Experience negotiating MA plans

  • Experience in contract management

Benefits 

  • 401(k) with employer matching up to 4% 

  • 100% employer-paid health insurance benefits for employee + family

  • Dental / vision benefits

  • Monthly wifi/cell reimbursement

  • Talkspace

  • Fertility benefits

  • 20 days PTO + 11 company holidays

  • 16 weeks parental leave for birthing parents and 8 weeks parental leave for non-birthing parents

  • Pregnancy loss leave and bereavement leave

At Remo Health, we value diversity in the workplace because it allows us to better understand and meet the needs of our customers and the communities we serve. We want to ensure every job applicant is treated fairly and with respect regarding race, national or ethnic origin, religion, age, gender, sexual orientation, or disability. If you require any support in the application process, including disability accommodation, please contact hr@remo.health.
We use E-Verify to confirm the identity and employment eligibility of all new hires: Participation Poster (PDF), Right to Work Poster (PDF). Background checks are required for all new hires.

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