Remote: VP of Payor Relations

Alsana; Los Angeles (CA); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Medical, Dental, and Vision insurance

HSA with employer contributions

FSA Healthcare and Dependent Care

PTO and paid holidays

Company-paid Basic Life and AD&D

Short-term disability (CA state plan)

Continuing education stipend

Employee discount program

Free meals

Job summary

Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders. The Vice President of Payor Relations will drive enterprise-wide payor strategy, contracting, and reimbursement optimization to expand access and maximize net revenue.

This senior role partners across Revenue Cycle, Finance, Clinical Operations, Admissions, Utilization Management, and Legal to support sustainable growth and high-quality care.

Qualifications

• 10+ years of progressive healthcare payor contracting/managed care experience.
• 5+ years in senior leadership with responsibility for contracting and payor strategy.
• Proven success negotiating national and regional payor agreements.
• Preferred: experience in behavioral health, eating disorders, RTC/IOP contracting, and value-based/alternative payment models.

Responsibilities

• Develop and execute enterprise-wide payor and contracting strategy.
• Lead negotiations, renewals, amendments, and lifecycle management for commercial, government, and specialty payor contracts.
• Negotiate reimbursement rates, single-case agreements, out-of-network arrangements, and value-based payment models.
• Manage strategic relationships with national and regional payors, including executive business reviews and issue escalation.
• Identify and resolve systemic authorization, denial, underpayment, claims, and reimbursement issues.
• Analyze contract performance, reimbursement trends, and market dynamics to maximize net revenue and reduce leakage.
• Partner with Utilization Management and Clinical Operations to improve authorization outcomes and advocate for evidence-based eating disorder treatment.
• Build and lead a high-performing Payor Relations/Contracting team and participate on the Executive Leadership Team.

Job description

Be part of a soul-hearted approach to healing

Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders.

We exist to be a source of hope and healing, creating safe, nurturing spaces where individuals can cultivate the roots of their own recovery story.

The Vice President of Payor Relations is a senior executive responsible for enterprise-wide payor strategy, contracting, relationship management, reimbursement optimization, and network growth.

The VP partners with Revenue Cycle, Finance, Clinical Operations, Admissions, Utilization Management, Legal/Compliance, and Executive Leadership to maximize reimbursement, improve patient access, reduce authorization barriers, and support sustainable growth.

Key Responsibilities

• Develop and execute enterprise-wide payor and contracting strategy.
• Lead negotiations, renewals, amendments, and lifecycle management for commercial, government, and specialty payor contracts.
• Negotiate reimbursement rates, single-case agreements, out-of-network arrangements, and alternative/value-based payment models.
• Manage strategic relationships with national and regional payors, including executive business reviews and issue escalation.
• Identify and resolve systemic authorization, denial, underpayment, claims, and reimbursement issues.
• Analyze contract performance, reimbursement trends, and market dynamics to maximize net revenue and reduce leakage.
• Partner with Utilization Management and Clinical Operations to improve authorization outcomes and advocate for evidence-based eating disorder treatment.
• Build and lead a high-performing Payor Relations/Contracting team and participate on the Executive Leadership Team.

Qualifications

• 10+ years of progressive healthcare payor contracting/managed care experience.
• 5+ years in senior leadership with responsibility for contracting and payor strategy.
• Proven success negotiating national and regional payor agreements.
• Strong knowledge of behavioral health reimbursement methodologies.
• Experience managing complex, multi-site or multi-state healthcare organizations.
• Demonstrated record of improving reimbursement and contract performance.
• Preferred: Experience in eating disorders, behavioral health, mental health, substance use, or specialty healthcare; RTC/PHP/IOP contracting; private equity-backed organizations; and value-based/alternative payment models

Benefits That Support You

At Alsana, we believe in caring for the people who make our mission possible. Eligible team members enjoy a supportive benefits package designed to support your health, well-being, and growth, including:

Benefits

• Medical, Dental, and Vision insurance with multiple plan options
• HSA plans with employer contributions
• FSA Healthcare and Dependent Care plan options
• Generous PTO, sick time, Covid Time, and 6 paid holidays
• Company-paid Basic Life and AD&D insurance
• Short-term disability (company-paid for non-CA; CA uses state plan)Continuing education stipend for eligible roles
• Voluntary benefits including Supplemental Life, Long-Term Disability, Accident, and Hospital Indemnity
• LifeMart employee discount program
• Free meals (position-specific)

(Cigna nationwide; Kaiser available in CA)

Join us in helping people feel rooted, engaged, and respected as they find their path to recovery. Together, we foster a community built on compassion, mutual respect, and whole-hearted care.