Vice President, Payor Relations

Job Type


Full-time

Description

Soleo Health is seeking a Vice President of Payor Relations to lead the strategic direction, development, and execution of our national payor contracting and network management efforts, driving growth, market access, and profitability across the organization. Must be located near Frisco, TX or St. Louis, MO. Join us in simplifying complex care!


Soleo Health Perks:

• Competitive Wages
• 401(k) with a Match
• Referral Bonus
• Paid Time Off
• Great Company Culture
• Paid Parental Leave Options
• Affordable Medical, Dental, & Vision Insurance Plans
• Company Paid Disability & Basic Life Insurance
• HSA & FSA (including dependent care) Options
• Education Assistance Program

The Position:

The Vice President of Payor Relations is a top executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company. This executive will play a critical role in shaping the company's approach to healthcare contracting, sales, and network management at a national level. The Vice President will lead efforts to optimize our Payor relations strategies, ensuring they align with the company's long-term objectives and maximize profitability and return on investment. Responsibilities include:

• Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies. Drive the achievement of contracted sales goals and enhance market share and profitability.
• Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure competitive and sustainable growth.
• Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and regional business leaders.
• Oversee detailed financial analyses of Payor contracts to identify trends and inform strategic decision-making. Manage budget projections for contracting sales pipelines and assess financial performance.
• Serve as the primary executive contact for major external partners, including Managed Care Organizations, PBM's, Health Systems and Independent Practice Associations (IPAs). Build and maintain strategic relationships to bolster business objectives.
• Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded reimbursement in Payor agreements.
• Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals.
• Maintain and update the company's strategy in response to healthcare legislation changes. Act as a subject matter expert to guide Payor Relations policies and practices.
• Perform other duties as assigned.

Requirements

• Bachelor's degree or equivalent industry knowledge with a minimum of 10 years in Payor Relations, Contracting, Sales, and Marketing, including significant leadership experience in complex healthcare environments.
• Proven track record of leading high-performing teams and effectively managing senior-level projects and initiatives.
• Strong ability to establish, grow, and leverage relationships with clients to drive successful contractual outcomes.
• Exceptional capability in analyzing complex data, identifying strategic insights, and employing them to improve business decisions and operational efficiencies.
• Expertise in developing and delivering high-impact presentations to a variety of stakeholders, including board members and external partners.
• High proficiency in Microsoft Office Suite and project management tools, capable of managing multiple, high-stakes projects simultaneously.
• Willingness and ability to travel extensively, often exceeding 50% of the time, to meet business needs.

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!


Soleo's Core Values:

• Improve patients' lives every day
• Be passionate in everything you do
• Encourage unlimited ideas and creative thinking
• Make decisions as if you own the company
• Do the right thing
• Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.


Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees.? Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.


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