Payer Strategy Specialist
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Job Location:
Nashville, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Why Charlie Health
Millions of people across the country are navigating mental health conditions substance use disorders and eating disorders but too often theyre met with barriers to care. From limited local options and long wait times to treatment that lacks personalization behavioral healthcare can leave people feeling unseen and unsupported.
Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized virtual care rooted in connectionbetween clients and clinicians care teams loved ones and the communities that support them. By focusing on people with complex needs were expanding access to meaningful care and driving better outcomes from the comfort of home.
As a rapidly growing organization were reaching more communities every day and building a team thats redefining what behavioral health treatment can look like. If youre ready to use your skills to drive lasting change and help more people access the care they deserve wed love to meet you.
About the Role
This role is responsible for overseeing and managing the verification of benefits process ensuring efficient accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services.
Our team is composed of passionate forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.
Responsibilities
- Collect and analyze data from various sources including payer policies reimbursement trends market access and formulary status to inform payer strategies.
- Monitor and assess payer trends including reimbursement levels formulary placement and health policy changes to help predict and address potential impacts on product access.
- Support the development of market access strategies working cross-functionally with Commercial Strategy RCM and other teams.
- Prepare reports and presentations summarizing key insights payer feedback and market dynamics for senior leadership.
- Support the tracking and analysis of payer performance metrics to measure the effectiveness of access and reimbursement strategies.
- Help maintain and update databases and tools used to track payer access and reimbursement status.
- Provide recommendations on payer strategy adjustments based on evolving market conditions or payer behavior.
Requirements
- 1-3 years of experience in the healthcare industry (patient account representative insurance collections payer strategy market access healthcare consulting or a similar field.
- Strong understanding of payer dynamics including reimbursement formulary management and market access strategies.
- Proficient in data analysis and reporting with the ability to synthesize complex information into clear actionable insights and trending patterns.
- Knowledge of government programs such as Medicaid and commercial payer structures.
- Proficiency in Microsoft Office Suite (Excel PowerPoint Word); experience with data analysis tools or CRM software is a plus.
- Excellent written and verbal communication skills with the ability to communicate complex ideas to both technical and non-technical audiences.
- Strong organizational skills and ability to manage multiple projects and priorities simultaneously.
Benefits
Charlie Health is pleased to offer comprehensive benefits to all full-time exempt employees. Read more about our benefits here.#LI-HYBRID
Our Values
- Connection: Care deeply & inspire hope.
- Congruence: Stay curious & heed the evidence.
- Commitment: Act with urgency & dont give up.
Please do not call our public clinical admissions line in regard to this or any other job posting.
Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health please go directly to our Careers Page: Charlie Health will never ask you to pay a fee or download software as part of the interview process with our addition Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @ email addresses. Legitimate emails will never originate from or other commercial email services.
Recruiting agencies please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner and we will not pay any fee associated with unsolicited referrals.
At Charlie Health we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.
Charlie Health applicants are assessed solely on their qualifications for the role without regard to disability or need for accommodation.
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Required Experience:
IC
Key Skills
- Marketing
- Data Visualization
- Tableau
- Customer Segmentation
- Microsoft Powerpoint
- Investment Banking
- Strategic Planning
- Financial Modeling
- Customer relationship management
- Management Consulting
- Google Suite
- Analytics
About Company
Charlie Health's virtual treatment programs create long-term healing and connection for teens and adults struggling with their mental health.
