Director, Payor Solutions & Market Access

Job Description

Job Description

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

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
• 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.

The posted range for this position is $185-205k which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay withing the posted range including education, prior experience, training, current skills, certifications, location/labor market, internal equity, etc.

At the time of this posting, this position is eligible for a bonus not reflected in the posted range subject to the achievement of the plan.

Shield Healthcare, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.