What are the responsibilities and job description for the Head of Payer Relations position at Steadfast Health?

Job Description

About Us

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they're most in need, Steadfast is relentlessly focused on making low-barrier, high-quality care accessible to all. We know that the journey to recovery is unique for every individual, and our patient-centered approach ensures we meet patients where they are, providing evidence-based therapies with unwavering support in a compassionate environment that fosters healing and growth. We are growing rapidly and building a dedicated team of professionals who are committed to fulfilling our mission – join us!

Role

As the Head of Payer Relations, you will play a pivotal role in shaping the future of Steadfast Health by driving strategic partnerships with both government and commercial payers. You will be responsible for leading our payer relationships and managed care contracting activity across the enterprise. This is an exciting opportunity to influence key business outcomes, work across diverse payer landscapes, and contribute to a forward-thinking, mission-driven organization poised for growth. Your expertise will be central in building strong, collaborative relationships that create a lasting impact.

Responsibilities

Oversee, negotiate and drive the strategic direction of Steadfast Health's managed care contracts and their implementation.
Cultivate and maintain long-term relationships with government and commercial payers that align with Steadfast Health's growth and service delivery goals.
Lead the negotiation, drafting, and execution of payer contracts, ensuring that terms support our financial and clinical objectives.
Develop innovative pricing models and contract structures that ensure value to the payer and sustainability for the company.
Monitor contract performance regarding financial performance, payment integrity, and compliance with contract terms and key performance indicators.
Monitor payer activity with respect to network development, product strategies, payment policies and other relevant market intelligence.
Collaborate cross-functionally with internal teams (legal, finance, clinical, etc) in order to ensure coordination and to align payer strategies with business goals.
Oversee the credentialing process for Steadfast Health and our providers.

Background

Payer contracting experience within a care delivery setting (ideally behavioral health / SUD), with a track record of negotiating favorable contract terms, managing expectations, and driving positive financial outcomes.

Deep understanding of both government and commercial payer priorities and the dynamics of healthcare reimbursement.

In-depth knowledge of Medicaid MCOs, including the regulatory landscape, common payer requirements, and how to successfully navigate the complexities of state-specific Medicaid programs.

Experience negotiating and managing bundled and / or value-based contracts, with a focus on incentivizing quality care while maintaining financial sustainability.

Expert in advising, presenting to and persuading senior leaders.

Excellent interpersonal skills, a flexible, can-do mentality, and a commitment to continuous learning and professional development.

Passionate about Steadfast Health's mission to provide low-barrier, non-punitive, harm-reductionist SUD care.

Investors & Partners

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners. Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower cost). Together with our partners, Steadfast Health is committed to revolutionizing the landscape of substance use disorder treatment, focusing on improving access, outcomes, and overall patient care.

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