Director, Payor Solutions & Market Access

Shields Health Care Group

$185K — $205K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • 10+ years of healthcare and payor sales experience
  • Strong knowledge of healthcare and payor trends

Responsibilities

  • Develop relationships with key payor stakeholders
  • Promote value proposition to create exclusive payor partnerships
  • Collaborate with sales teams to identify payor opportunities
  • Maintain an enterprise view of operations and medical supply distribution
  • Negotiate profitable contracts with payors
  • Create differentiated payor-facing programs
  • Manage and progress a qualified sales pipeline for payors

Benefits

  • Medical, Dental and Vision coverage from day one
  • Flexible Spending Account available
  • Life and Disability Insurance provided
  • 401(k) plan with company match
  • Generous vacation and sick days
  • Paid holidays offered
  • Educational assistance for professional development
  • Employee referral program to encourage team growth
Full Job Description
Shield HealthCare is looking for a Director, Payor Solutions & Market Access responsible for developing relationships with key health plan executives, leveraging Shield's strategic value to grow and protect revenue and profitability. This will be accomplished by penetrating existing payor accounts, expanding new market and payor contract access, helping to create and sell differentiated value, and engaging in thoughtful and strategic negotiations to improve and protect profitability.

JOB RESPONSIBILITIES:
  • Develop payor relationships with strategic stakeholders
  • Sells value proposition to payors creating more preferred or exclusive partnerships
  • Work with sales teams to identify opportunities with new and existing payors
  • Has an enterprise view of the organization, medical supply distribution, billing, and operations
  • Negotiate profitable agreements f
  • Create and sell differentiated payor facing programs
  • Develop and maintain qualified sales pipeline and progress with identified payor targets
  • Assists ISR and field teams with health plan presentations and in-services
  • Leverages available business tools and reporting to uncover and act on business trends
  • Stay abreast of competition and associated value
  • Supports Senior Director Payor Solutions & Market Access in strategic qualification and acquisition of suitable DME targets

QUALIFICATIONS:
  • Bachelors degree required
  • 10+ years of related healthcare experience and payor sales
  • Knowledgeable on healthcare and payor trends

SALARY & BENEFITS:
  • $185-205k
  • Medical, Dental and Vision (Eligible first day of employment)
  • Flexible Spending Account
  • Life & Disability Insurance
  • 401(k) with Company Match
  • Vacation and Sick Days
  • Paid Holidays
  • Education Assistance
  • Employee Referral Program

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.

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