Alsana
Remote: VP of Payor Relations
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Job Description
#### Be part of a soul-hearted approach to healing
Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders.
We exist to be a source of hope and healing, creating safe, nurturing spaces where individuals can cultivate the roots of their own recovery story.
The Vice President of Payor Relations is a senior executive responsible for enterprise-wide payor strategy, contracting, relationship management, reimbursement optimization, and network growth.
The VP partners with Revenue Cycle, Finance, Clinical Operations, Admissions, Utilization Management, Legal/Compliance, and Executive Leadership to maximize reimbursement, improve patient access, reduce authorization barriers, and support sustainable growth.
#### Key Responsibilities
- Develop and execute enterprisewide payor and contracting strategy.
- Lead negotiations, renewals, amendments, and lifecycle management for commercial, government, and specialty payor contracts.
- Negotiate reimbursement rates, singlecase agreements, outofnetwork arrangements, and alternative/valuebased payment models.
- Manage strategic relationships with national and regional payors, including executive business reviews and issue escalation.
- Identify and resolve systemic authorization, denial, underpayment, claims, and reimbursement issues.
- Analyze contract performance, reimbursement trends, and market dynamics to maximize net revenue and reduce leakage.
- Partner with Utilization Management and Clinical Operations to improve authorization outcomes and advocate for evidencebased eating disorder treatment.
- Build and lead a highperforming Payor Relations/Contracting team and participate on the Executive Leadership Team.
#### Qualifications
- 10+ years of progressive healthcare payor contracting/managed care experience.
- 5+ years in senior leadership with responsibility for contracting and payor strategy.
- Proven success negotiating national and regional payor agreements.
- Strong knowledge of behavioral health reimbursement methodologies.
- Experience managing complex, multisite or multistate healthcare organizations.
- Demonstrated record of improving reimbursement and contract performance.
- Preferred: Experience in eating disorders, behavioral health, mental health, substance use, or specialty healthcare; RTC/PHP/IOP contracting; private equitybacked organizations; and valuebased/alternative payment models
#### Benefits That Support You
At Alsana, we believe in caring for the people who make our mission possible. Eligible team members enjoy a supportive benefits package designed to support your health, well-being, and growth, including:
* Medical, Dental, and Vision insurance with multiple plan options
(Cigna nationwide; Kaiser available in CA)
- HSA plans with employer contributions
- FSA Healthcare and Dependent Care plan options
- Generous PTO, sick time, Covid Time, and 6 paid holidays
- Companypaid Basic Life and AD&D insurance
- Shortterm disability (companypaid for nonCA; CA uses state plan)
- Continuing education stipend for eligible roles
- Voluntary benefits including Supplemental Life, LongTerm Disability, Accident, and Hospital Indemnity
- LifeMart employee discount program
- Free meals (positionspecific)
Join us in helping people feel rooted, engaged, and respected as they find their path to recovery. Together, we foster a community built on compassion, mutual respect, and whole-hearted care.
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