Casa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care. Casa Esperanza has an operating budget of $15 million and more than $11 million in assets.
Are you ready to take your career to the next level in the dynamic and rapidly evolving world of behavioral healthcare? Casa Esperanza, Inc. is seeking our first ever Payer Relations Director to lead our efforts in cultivating strong relationships with payers. With a salary range of $85,000-95,000, this role offers not only financial rewards but also the opportunity to make a meaningful impact on patient access to vital bilingual/bicultural behavioral health services.
Why Join Us?
At Casa Esperanza, we are dedicated to revolutionizing patient care through integrated addictions, mental health, and trauma informed treatment aimed at meeting the unique needs of Latine and other underserved communities across the Commonwealth of Massachusetts.
As a Payer Relations Director, you will play a pivotal role in shaping the future of behavioral healthcare delivery, all while enjoying the flexibility of a hybrid (80% remote/20% in person) work environment. While this role is mostly remote, we recommend being based in Massachusetts to align with our focus on Massachusetts payers and markets.
Key Responsibilities:
- Strategic Planning: Develop and execute reimbursement and access strategies that drive our company's growth and success.
- Relationship Management: Foster positive relationships with key payer organizations, advocating for fair reimbursement and patient access.
- Contract Negotiations: Lead negotiations to secure favorable reimbursement terms and rates, ensuring the financial health of our organization.
- Issue Resolution: Serve as a champion for our patients, addressing and resolving payer-related challenges promptly and effectively.
- Advocacy: Be a voice for change, advocating for policies that support patient access to behavioral health services and equitable reimbursement.
- Collaboration: Work closely with cross-functional teams to ensure alignment and support for payer relations initiatives, driving results collaboratively.
- Market Analysis: Stay ahead of industry trends, identifying opportunities and challenges in the payer landscape to inform strategic decision-making.
- Value-based Contracts: Support the development of innovative value-based contract structures and payer partnerships to drive mutual success.
- Reporting: Provide senior management with insightful reports on payer relations activities, performance metrics, and market insights.
Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field.
- Minimum of 5 years of experience in payer relations, healthcare reimbursement, or a related field, with a focus on Massachusetts markets.
- Proven track record of building and maintaining strong payer relationships, coupled with excellent negotiation and contract management skills.
- Strong analytical abilities with in-depth knowledge of healthcare reimbursement systems, rate modeling/development, and payer requirements.
- Exceptional communication and interpersonal skills, with the ability to collaborate effectively across teams.
If you're ready to make a difference in healthcare and drive positive change in patient access and reimbursement, we want to hear from you!
Apply now and embark on an exciting journey with us!
What We Offer
- Holiday Pay (12 days per year + 1 floating holiday)
- Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
- Sick Pay - 10 paid days per year
- Long / Short Term Disability
- Paid by Company Life Insurance
- Health Insurance (Medical Dental, Vision)
- Health Reimbursement Arrangement (HRA)
- ComPsych Guidance Resources - EAP
- Educational Opportunities
- Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
- Increased Salary for Credentials
- and more....
Physical & Mental Requirements
While performing the duties of this job the employee is regularly required to walk, stoop, kneel, crouch or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.
At Casa Esperanza, Inc., the health and safety of our people is our number one priority. That’s why all offers of employment are contingent on the candidate showing proof of being fully vaccinated against COVID 19 (currently one dose of the Johnson & Johnson vaccine or two doses of the Pfizer or Moderna vaccine and boosted, when eligible) to pass the pre-employment requirements. Individuals with medical issues or religious beliefs that prevent them from getting the vaccine may request an exemption from the vaccine requirement.
Casa Esperanza, Inc. values its diverse workplace and encourages women, people of color, LGBTQIA+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, older members of society, and others from minority groups and diverse backgrounds to apply.
We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. Casa Esperanza, Inc also has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law.
All employees, interns, volunteers and contractors of Casa Esperanza, Inc. are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.
Casa Esperanza, Inc. also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email .
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