Payer Strategy Specialist

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life‑saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we’re reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you’re ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role This role is responsible for overseeing and managing the verification of benefits process ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. Responsibilities Collect and analyze data from various sources, including payer policies, reimbursement trends, market access, and formulary status, to inform payer strategies. Monitor and assess payer trends, including reimbursement levels, formulary placement, and health policy changes to help predict and address potential impacts on product access. Support the development of market access strategies, working cross‑functionally with Commercial Strategy, RCM, and other teams. Prepare reports and presentations summarizing key insights, payer feedback, and market dynamics for senior leadership. Support the tracking and analysis of payer performance metrics to measure the effectiveness of access and reimbursement strategies. Help maintain and update databases and tools used to track payer access and reimbursement status. Provide recommendations on payer strategy adjustments based on evolving market conditions or payer behavior. Requirements 1‑3 years of experience in the healthcare industry (patient account representative, insurance collections, payer strategy, market access, healthcare consulting, or a similar field. Strong understanding of payer dynamics, including reimbursement, formulary management, and market access strategies. Proficient in data analysis and reporting, with the ability to synthesize complex information into clear, actionable insights and trending patterns. Knowledge of government programs such as Medicaid and commercial payer structures. Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word); experience with data analysis tools or CRM software is a plus. Excellent written and verbal communication skills, with the ability to communicate complex ideas to both technical and non‑technical audiences. Strong organizational skills and ability to manage multiple projects and priorities simultaneously. Charlie Health is pleased to offer comprehensive benefits to all full‑time, exempt employees. Read more about our benefits here ­­. #LI-HYBRID Our Values Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. #J-18808-Ljbffr Charlie Health, Inc.