OpenLoop is the white label telehealth platform trusted by 400+ virtual care brands. Clinicians, pharmacy, diagnostics, AI — all under your brand. Backed by Techstars.
About the role
OpenLoop’s mission is to bring care anywhere by powering telehealth solutions at scale. We are looking for a Manager, Payer Contracting to join our Clinical Compliance team and own the strategy, negotiation, and ongoing management of OpenLoop’s payer contracting portfolio.
What they're looking for
- Bachelor’s degree or equivalent relevant experience
- 6+ years of progressive experience in payer, managed care, or provider contracting, ideally within a multi-state or national healthcare organization
- Significant experience negotiating payer contracts from the provider side , with direct responsibility for sitting across the table from payer representatives and negotiating contract terms and reimbursement
- Demonstrated experience managing contracts across multiple payers, entities, markets, or states
- Strong understanding of group versus individual provider contracting , including the operational and enrollment considerations associated with each model
- Deep understanding of healthcare reimbursement methodologies, provider contracting, fee schedules, claims reimbursement, and managed care contracting
More about this role
OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.
OpenLoop’s mission is to bring care anywhere by powering telehealth solutions at scale. We are looking for a Manager, Payer Contracting to join our Clinical Compliance team and own the strategy, negotiation, and ongoing management of OpenLoop’s payer contracting portfolio.
This role will be responsible for bringing structure and visibility to a complex, evolving contracting environment. You will assess and map our existing payer contracts across entities and markets, determine the appropriate group versus individual contracting approach, and personally lead negotiations and renegotiations with national and regional payers. You will partner closely with Revenue Cycle Management, Payer Enrollment, Finance, Clinical Operations, Compliance, Legal and other teams to ensure contracts are structured correctly and successfully implemented...
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