Director, Strategic Payor Partnerships
CerebralAbout the role
Our Company:
At Cerebral, we're on a mission to democratize access to high-quality mental health care for all. We believe that everyone everywhere deserves to get the care they need, and are striving to make care convenient and accessible, while tackling the stigmas that surround mental illness.
Since launching in January of 2020, Cerebral has scaled to provide mental health services to more than 700,000 people in all fifty US states. With support from investors like SoftBank, Silver Lake, Access Industries, Bill Ackman, WestCap, and others, and impactful leaders like you, we’ll continue to democratize mental health care and double down on clinical quality and deliver exceptional client outcomes for years to come. With a heavy focus on clinical quality and safety in all that we do, we’ve accomplished excellent outcomes for hundreds of thousands of clients:
- 82% of clients report an improvement in their anxiety symptoms after using Cerebral.
- 75% of clients who report improvement in their depression see improvement within 60 days.
- 50% of clients who initially report suicidal ideation no longer harbor suicidal thoughts after treatment with Cerebral.
This is just the beginning for Cerebral, and we won’t stop building, growing, and iterating until everyone, everywhere can access high-quality, evidence-based mental health care without high costs and/or long wait times. We’re looking for mission-driven leaders who share these values, and we need your help as we transform access to high-quality mental health care in the United States and beyond.
The Role:
As the Director of Strategic Payor Partnerships at Cerebral, you will be responsible for driving growth and strategic initiatives through the development and management of partnerships with insurance providers. Leveraging your industry expertise and network, you will identify and cultivate key relationships, negotiate partnerships, and collaborate with internal stakeholders to deliver value-added solutions to optimize our insurance offering. This role requires a combination of strategic thinking, relationship-building skills, and a deep understanding of the insurance landscape to drive success in a rapidly evolving healthcare market.
Who you are:
- Bachelor's degree in Business Administration, Healthcare Administration, or related field; Master's degree preferred.
- Minimum of 7 years of experience in insurance management, strategic partnership development, business development, or related roles within the healthcare industry.
- Deep understanding of the healthcare insurance landscape, including knowledge of payer dynamics, reimbursement models, and regulatory requirements.
- Proven track record of building and managing successful partnerships with insurance providers.
- Understanding of the full patient insurance lifecycle, including eligibility and benefit verification, claims submission, and claims processing.
- Experience in payer contract negotiations and management, especially with major networks such as BCBS, Cigna, Aetna, Magellan, and UHC.
- Interpretation of CMS EDI Standards: Knowledge in interpreting CMS EDI standards, such as EDI 270/271.
- Experience with working with Mental Healthcare carveout programs for insurance eligibility and billing.
- Experience working with Health Insurance Technology and vendors, including experience with Real-Time eligibility, Automatic Claims processing, and workflow optimization.
- Experience with clinician credentialing and delegation agreements.
- Strong negotiation skills, with the ability to structure and execute complex partnership agreements.
- Strategic thinker with the ability to identify and capitalize on market opportunities.
- Excellent communication and interpersonal skills, with the ability to effectively engage and influence internal and external stakeholders.
- Strong analytical skills, with the ability to analyze market trends, financial data, and performance metrics to drive decision-making.
- Leadership experience, with the ability to lead cross-functional teams and drive results in a dynamic, fast-paced environment.
- Demonstrated ability to thrive in a fast-paced, dynamic environment and adapt to changing priorities.
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