Job details

Payer Contracting Consultant

We are looking to hire an experienced Payer Contracting Consultant who can help us expand access to Remo's Innovative dementia care services.

The ideal candidate possesses a strong understanding of the healthcare payer landscape, excellent negotiation skills, and a proven track record of success in contract execution.

This is a six-month 1099 contract with the possibility of extending or expanding based on individual performance and company growth.

About the Company

Remo is building the new standard of dementia care. As a virtual dementia care provider, our expert clinical team designs personalized, comprehensive care around patient and family needs (instead of a one-size-fits-all approach). We empower family caregivers by connecting them with a vibrant community of other caregivers, expert content, and tools to manage the entire dementia journey – from anywhere, at any time. Our mission is simple – to provide accessible, comprehensive, quality dementia care for every person who needs it.

About the Payer Contracting Consultant Role

This role will play a crucial part in expanding access to Remo's innovative dementia care services by securing contracts for our affiliated medical practice with payers in multiple states.

What you'll be doing :

Manage the entire contracting lifecycle with persistence.
Experience negotiating MA plans
Identify and prioritize potential payer partners in targeted states.
- A prioritized list of 20+ payers has already been compiled.
Clearly articulate Remo’s unique value proposition.
Develop and maintain strong relationships with payer representatives.
Oversee or complete and submit payer applications with accuracy and attention to detail.
Negotiate favorable reimbursement rates and contract terms and incorporate knowledge of the market, value based care models and alternative payment arrangements into contract negotiations.
Track the progress of contract applications and maintain detailed records.
Communicate effectively with internal and external stakeholders regarding contract status and any roadblocks.
Proactively identify and resolve issues that may hinder contract execution.
Stay informed about industry trends, regulations, and payer policies.
Collaborate with internal teams (e.g., clinical, operations, finance) to ensure smooth contract implementation.
Contribute to the development and improvement of payer contracting processes.
Facilitate contract execution in collaboration with General Counsel.

What we're looking for :

Deep experience in payer negotiations
Successful experience in negotiating fees
Experience in a start up environment
Experience negotiating MA plans
Experience in contract management

Benefits

401(k) with employer matching up to 4%
100% employer-paid health insurance benefits for employee + family
Dental / vision benefits
Monthly wifi/cell reimbursement
Talkspace
Fertility benefits
20 days PTO + 11 company holidays
16 weeks parental leave for birthing parents and 8 weeks parental leave for non-birthing parents
Pregnancy loss leave and bereavement leave

At Remo Health, we value diversity in the workplace because it allows us to better understand and meet the needs of our customers and the communities we serve. We want to ensure every job applicant is treated fairly and with respect regarding race, national or ethnic origin, religion, age, gender, sexual orientation, or disability. If you require any support in the application process, including disability accommodation, please contact hr@remo.health.
We use E-Verify to confirm the identity and employment eligibility of all new hires: Participation Poster (PDF), Right to Work Poster (PDF). Background checks are required for all new hires.

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What You Should Know About Payer Contracting Consultant , Remo Health

Are you passionate about making a difference in the healthcare industry? Remo is on the lookout for a talented Payer Contracting Consultant to join our innovative team. In this role, you'll play a key part in expanding access to our groundbreaking dementia care services. We need someone who understands the healthcare payer landscape, has fantastic negotiation skills, and boasts a track record of effective contract execution. This six-month 1099 contract position offers the chance for growth based on your performance. At Remo, we're not just a virtual dementia care provider; we transform lives by offering personalized, comprehensive care tailored to the unique needs of patients and families. As the Payer Contracting Consultant, you'll be responsible for managing the whole contracting lifecycle, negotiating MA plans, and building strong relationships with key payer representatives across multiple states. With a prioritized list of 20+ potential partners, your goal is to clearly showcase Remo’s unique value proposition and secure favorable reimbursement rates. Collaborative teamwork is at the heart of what we do, so expect to work closely with our clinical, operations, and finance teams to ensure the successful implementation of contracts. If you thrive in a startup environment and have deep experience in payer negotiations, this could be the perfect opportunity for you. Join us in our mission to deliver accessible, quality dementia care for everyone who needs it!

Frequently Asked Questions (FAQs) for Payer Contracting Consultant Role at Remo Health

What does the Payer Contracting Consultant at Remo do?

The Payer Contracting Consultant at Remo is responsible for managing the entire contracting lifecycle, which includes negotiating contracts with healthcare payers, identifying potential payer partners, and developing relationships with payer representatives. This role is critical to expanding access to Remo's innovative dementia care services.