Alsana

Remote: VP of Payor Relations

Remote, USPosted 15 days ago

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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