Head of Payor Strategy
Remote$120k - $150kFull-timePosted 2mo ago
About the role
Head of Payor Strategy at Finni Health responsible for operational and strategic management of the payer network, payer enrollment and contracting, network maintenance, compliance, and cross-functional collaboration to enable providers to join and remain in-network with commercial and Medicaid payers.
Responsibilities
- Develop and execute strategies to expand and optimize Finni's payer network.
- Evaluate commercial and Medicaid payer opportunities based on strategic fit, reimbursement potential, and long-term business value.
- Partner with leadership to prioritize payer partnerships that support Finni's growth strategy and provider success.
- Build and maintain strong relationships with payer representatives to improve network access and operational performance.
- Identify opportunities to strengthen existing payer partnerships and improve contract performance.
- Lead and develop the team responsible for payer enrollment, contracting operations, and network maintenance.
- Establish KPIs, reporting, and operational processes to drive accountability and operational excellence.
- Ensure provider enrollments are completed accurately and efficiently so providers can successfully become in-network.
- Identify operational bottlenecks and implement scalable solutions that improve speed, quality, and provider experience.
- Manage internal and offshore resources to ensure timely execution and consistent operational performance.
- Build systems and workflows that support rapid provider and market expansion.
- Oversee revalidation, recredentialing, roster management, demographic updates, and ongoing payer maintenance activities.
- Ensure all payer deadlines, renewals, and compliance requirements are proactively managed to prevent network lapses.
- Maintain accurate contract documentation, payer records, and operational data.
- Partner with Compliance and Revenue Cycle teams to ensure adherence to payer requirements and regulatory standards.
- Prepare and present operational data, compliance metrics, and network performance reporting for internal leadership and payer partners.
- Support payer audits, escalations, and operational issue resolution.
- Own operational metrics related to payer enrollment, network growth, revalidation, and team performance.
- Analyze operational data to identify trends, improve workflows, and support strategic decision-making.
- Lead initiatives that improve scalability, reduce administrative burden, and enhance provider satisfaction.
- Collaborate with Product and Operations teams to improve internal systems and automate manual processes where possible.
- Drive continuous improvement efforts that increase efficiency and support Finni's long-term growth.
- Partner closely with Credentialing, Revenue Cycle Management, Provider Success, Product, Compliance, Finance, and Executive Leadership teams.
- Serve as the operational owner for initiatives involving payer network growth and provider onboarding.
- Align stakeholders around strategic initiatives that improve network access, operational efficiency, and provider success.
- Contribute to special projects and evolving responsibilities as Finni Health continues to grow.
Qualifications
- 4+ years of experience in healthcare operations, payer operations, network management, revenue cycle operations, credentialing, provider enrollment, or related healthcare function.
- Experience with commercial and Medicaid payers is required.
- Experience with payer contracting, provider enrollment, revalidation, and network maintenance is strongly preferred.
- Experience in behavioral health, ABA, mental health, healthcare services, or healthcare technology is preferred.
- Previous people management experience preferred.
- Startup or high-growth company experience is a plus.
Skills
Required:Payer network strategyPayer enrollment & contracting operationsKPIs and performance metricsTeam leadershipCross-functional collaboration
Last updated Sep 23, 2026. Interested? Apply on the company site.
About Finni Health
Empowering Autism Care Providers to Go Independent
Our platform is simple: we provide everything providers need to go independent, from scheduling and billing to marketing and client support.
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