About Us
InStride Health is transforming pediatric mental healthcare. Our mission is to provide desperately needed, insurance-based access to virtual treatment that works for kids and teens with mod/severe anxiety & OCD. Through this mission, we are expanding access to care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence based therapies and outcomes tracking.
Team InStride Health: Our Core Values
- Give Heart: We lead with heart, treating patients and their families the way we want our loved ones to be treated.
- Work Smart: We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation.
- Have Humility: We leave our egos at the door, empowering our team to collaborate, celebrate diversity, and adopt a growth mindset.
- Embrace Community: We all belong. We are in this together, and we never worry alone. We believe in each other and recognize that every voice matters.
About the Role
We are seeking a highly experienced and strategic Vice President of Payor Solutions to join our dynamic team. The ideal candidate will be an experienced leader with a deep understanding of the healthcare payor landscape, a track record of developing and implementing successful payor solutions, and a knack for cross-functional collaboration and problem solving. This role plays a critical piece in the payor sales process (along with our Chief Growth Officer and other C-level execs), in designing a solution to get to the appropriate outcome for the payor and InStride, getting full payor buy-in, and carrying forward that buy-in through our team’s full go-live of the solution.
Responsibilities
- Develop and execute comprehensive payor solutions to optimize reimbursement rates, improve contract negotiations, and enhance overall financial performance.
- Cultivate and maintain strong relationships with payor organizations, including commercial insurance companies, government payors, and managed care organizations.
- Lead the negotiation of payor contracts, ensuring favorable terms and conditions that align with organizational objectives. This requires a strong understanding of InStride’s multi-dimensional ROI and being able to map how that translates for each payor in order to design the appropriate solution.
- Develop deep understanding of the inner workings of payor organizations, with an ability to problem solve challenges as they arise related to systems, processes, organizational structures.
- Create a “one-team” environment with payor clients to drive progress and results efficiently and effectively.
- Monitor industry trends and regulatory changes affecting payor relationships, providing insights and recommendations to senior leadership.
- Partner closely with the payor account management team to deepen existing payor relationships. Identify opportunities to renegotiate better terms/rates, drive patient acquisition, and enable data-driven reporting and analyses.
- Collaborate cross-functionally with internal teams, including finance, operations, and clinical departments, to drive alignment and achieve strategic goals.
- Drive innovation and continuous improvement in payor-related processes and systems to streamline operations and enhance efficiency.
- Prepare and present regular reports and analyses to senior leadership, highlighting key performance metrics and opportunities for growth.
- Represent the organization at industry conferences, forums, and events, building our reputation as a leader in payor solutions.
What You Need to Succeed in the Role
- Bachelor's degree in healthcare administration, business, or a related field; advanced degree preferred.
- Minimum of 7-10 years of experience in payor relations, contracting, or managed care within the healthcare industry or within consulting
- Proven track record of successfully negotiating complex payor contracts and driving revenue growth.
- Superior problem solving skills, and ability to “get to yes” by identifying solutions to complex challenges within payor environments (systems limitations, diffuse accountability, complex organizational structures, etc.)
- Strong leadership skills with the ability to inspire and motivate cross-functional internal and client teams to achieve exceptional results.
- Excellent analytical abilities and strategic thinking, with a focus on data-driven decision-making.
- Exceptional communication and interpersonal skills, with the ability to build rapport and influence stakeholders at all levels.
- Deep knowledge of healthcare payor trends, regulations, and reimbursement methodologies.
- Ability to thrive in a fast-paced, dynamic environment and adapt to changing priorities.
- Demonstrated commitment to integrity, transparency, and ethical business practices.
Why Join Our Team
- Opportunity to join a mission-driven company that is changing the landscape of pediatric mental health treatment
- Ability to help hundreds of children and families access desperately-needed evidence-based care
- Opportunity to work with talented and experienced team members who have devoted their lives to solving this problem
- Competitive compensation and generous benefits package for doing what you love
- 401(k) with employer matching
- Paid parental leave policy
- 4-week paid sabbatical after 5 years of employment
- Fully remote work environment, enabling you to work from the comfort of your home with periodic, in-person team retreats
Commitment to Diversity, Equity, Inclusion, & Belonging
One of the core values we are passionate about in InStride is building an inclusive and equitable environment where we celebrate all identities. We strongly believe that every member on our team enriches our InStride family; the individual voices help us provide better care for families. Therefore, we invite you to share any additional information about yourself or your experiences that may not be reflected in your CV. Inclusion of this information is completely voluntary.
