Market Access / Payer Enrollment, Director

Better Health
Columbus, OH Remote Full Time
POSTED ON 3/21/2024 CLOSED ON 4/13/2024

What are the responsibilities and job description for the Market Access / Payer Enrollment, Director position at Better Health?

Market Access / Payer Enrollment, Director

Better Health is growing and looking for a Director to help lead network strategy, payer contracting, rate negotiation, and payer relations support.

As the Payer Enrollment Director, you will carry the responsibility of helping to grow Better Health by working with our existing credentialing team to build a robust network. You will execute a data-driven approach that sets the network strategy and brings Better Health to more lives. 

You’re an exceptional candidate if you have a track record of working in a healthcare start-up environment to grow the network. You know how to communicate clearly, make decisive decisions, and build valuable relationships with payers that help to grow the network. You use data to make decisions and are able to clearly communicate strategies to leadership. We’re looking for someone that is ready to hit the ground running on day one and operate as both a player and coach.

This role will report to our Head of Expansion.

Who is Better Health?

Better Health is a new type of medical provider, helping people with chronic conditions live and age at home. How? By bundling at-home medical supply delivery with peer support and education. We help our members discover and purchase the best medical equipment and supplies to address their underlying chronic conditions and receive the education and support they need to thrive at home. 

Since its inception in November 2019, Better Health has gained Medicare licenses in 46 states, 16 Medicaid licenses, and preferred national provider contracts with leading payers, including Oscar Health and Humana. This has allowed our member base to rapidly grow with virtually no churn. We are backed by Caffeinated Capital, General Catalyst, Mastry, 8VC, Bill Ackman and a large group of experienced investors and entrepreneurs (see our series A announcement post).

What will you do?

  • Track a pipeline of payers Better Health is petitioning to join the network
  • Negotiate new and pending payer agreements and rates
  • Set and communicate network priorities
  • Nurture relationships with payers, draft appeal letters, build relationships with the payer departments to gain contracts
  • Work cross-functionally across teams to build data-driven understanding or goals
  • Lead, coach and develop team members

What you bring to the table:

  • You have 5 years of experience in payer relations / market access 
  • You have managed a team and know how to develop talent
  • You have experience with credentialing with payers and regulatory agencies
  • You are organized, detailed oriented, persistent and good at relationship building
  • You have a passion for healthcare and improving people’s lives
  • Strongly Preferred: Experience working at or with a DME

Now, why choose Better Health?

Here at Better Health, our mission is to bring information, access, and support to people managing chronic conditions at home. Our diverse team is united by our shared values:

  • Open dialogue with radical transparency
  • Creativity to run with ideas
  • Collaboration across teams

If you're fired up at the thought of revitalizing a tired $80 billion industry and passionate about patient-focused solutions, join us!

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Better Health is committed to being an employer that provides not just a good place to work, but a great and inclusive place to work. To that end, we strive to recruit and maintain a workforce that meaningfully represents the diverse and culturally rich communities that we serve. Here at Better Health, we are committed to diversity, equity, and inclusion.

We are an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status or any other basis protected by federal, state or local law, ordinance or regulation.

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