Jobs · Business Development

VP of Payer Relations

The Emily Program · St Paul, MN · 3 wk ago
Business Development$180k–$210k/yrFull-time

Position Overview

The Vice President of Payer Relations is a senior executive responsible for defining and leading The Emily Program’s payer strategy across commercial, Medicaid/ Medicare, and other managed care partners. This leader ensures sustainable reimbursement, expanded access to care, and alignment between payer contracts and The Emily Program’s specialized eating disorder care delivery model across all levels of care (inpatient, residential, PHP, IOP, outpatient, virtual services).

Salary Range

Salary Range: $180,000 - $210,000 Base Salary
Commensurate with experience and competencies of the role.

Location

Remote - Must be located in the United States.

How VP of Payer Relations Empower Recovery

  • Enterprise Payer Strategy

  • Contracting & Negotiation Leadership

  • Payer Relationship Management

  • Revenue & Performance Oversight

  • Clinical & Operational Alignment

  • Market Intelligence & Innovation

Education Qualifications

  • Bachelor’s degree in business, Healthcare Administration or related field, required. Advanced degrees (MBA, MHA, MPH, or JD), preferred.

  • Professional Qualifications (Preferred):

    • 10+ years of experience in payer relations, managed care, or healthcare contracting.
    • Minimum 7 years in senior leadership roles with a track record of managing and developing successful teams.
    • Deep expertise in behavioral health reimbursement (strongly preferred: eating disorder treatment).
    • Demonstrated success negotiating complex payer agreements in multi-state environments.
    • Excellent analytical and problem-solving skills, with a data-driven approach to decision-making.
    • Effective communication and interpersonal skills, with the ability to collaborate effectively across departments.
    • Demonstrated success in creating revenue upside through payer strategy.
    • Strong command of challenges and risks in Health Plans, Hospital, and Provider Group markets.
    • Experience with:
      • Residential and sub-acute behavioral health reimbursement
      • Medicaid managed care across multiple states
      • Out-of-network and SCA negotiations

What we offer

  • Employee Benefits:

    • HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
    • Dental insurance (Delta Dental)
    • Vision insurance (EyeMed)
    • Short-term and long-term disability insurance
    • Company-paid life insurance
    • 401(k) plan available two months after start date
    • Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
  • Paid time off:

    • Generous PTO plan accrues annually and begins with your first whole pay period.
    • Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

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