Better Health Group Services, Inc.

Payor Partnerships Manager

Location US-FL-TBD
ID 2025-1792
Category
Network Development
Position Type
Full-Time

Overview

Our mission is Better Health. Our passion is helping others.

 

What’s Your Why?

 

• Are you looking for a career opportunity that will help you grow personally and professionally?

• Do you have a passion for helping others achieve Better Health?

• Are you ready to join a growing team that shares your mission?

 

Why Join Our Team: At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

 

Responsibilities

Position Objective:

 

The Payor Partnerships Manager is critical in partnering with national and regional health plans to grow their Medicare Advantage and Medicaid panels and enhance their value-based care initiatives.  This role is not focused primarily on contract negotiations, but works closely with Better Health Group’s (BHG) contracting team and directly with payor partners. The incumbent is responsible for supporting overall performance and meeting BHG growth goals, for BHG’s network of independent clinics and overall members under management. 

 

This role is focused on deepening strategic partnerships with select payor partners, defining growth opportunities and comarketing and tactical plans, as well as providing exceptional project management to coordinate and report on BHG’s execution.  

 

 

Responsibilities include and are not limited to:

 

  • Builds and nurtures strong, trust-based relationships with health plan partners.
  • Represents Growth in the identification and prioritization of different payors, plans and contract terms needed to achieve growth goals.
  • Translates BHG payor contracts into marketable payor “products,” developing and optimizing internal BHG processes and systems to ensure all functions are aligned.
  • Serves as the subject matter expert, across BHG, for all payor products, across multiple states and lines of business (i.e. Medicare Advantage, Medicaid).
  • Accountable for defining and implementing payor-specific growth plans and initiatives that ensure sufficient membership is maintained to optimize risk-based contracts.
  • Facilitates payor-specific coordination and project management, across internal teams (performance, contracting, and growth), ensuring seamless execution.
  • Serves as a member of BHG’s Joint Operating Committee model with payors, providing insights and recommendations on growth-related opportunities and issues.
  • Establishes and maintains a separate, growth-focused workgroup, directly with payor team members focused on BHG’s joint growth plan and removal of barriers. 
  • Identifies risks and challenges within payor partnerships and escalates to leadership as needed, ensuring appropriate resources are allocated.
  • Develop reporting and scorecards to measure Key Performance Indicators.
  • Other duties as assigned.

 

 

Position Requirements/Skills:

 

  • Bachelor’s Degree in Healthcare Administration, Business, Marketing, or related field, or equivalent experience in lieu of a degree.
  • 5+ years in healthcare, preferably within Medicare Advantage and value-based care.
  • 3+ years of primary care network development or network performance in a risk-based, quality, chronic condition or care management environment.
  • Proven success in relationship management, strategic and tactical planning and partnership development with national and regional health plans.
  • Ability to assess financial and operational outcomes of value-based arrangements and translate insights into actionable strategies.
  • Strong analytical skills with a data-driven approach to decision-making.
  • Proficient with Google Suite (Drive, Docs, Sheets, Slides) for real-time collaboration
  • Experience with workflow management tools (e.g. Monday.com, Smartsheets).
  • Exceptional communication and interpersonal skills, with the ability to engage with senior executives and internal stakeholders effectively.
  • Passionate about driving the shift from fee-for-service to value-based care.
  • Results-oriented mindset with a track record of driving membership growth and revenue impact through strategic payor partnerships.
  • Demonstrated ability to handle data with confidentiality.
  • Appreciation of cultural diversity and sensitivity toward target patient populations.

 

 

Physical Requirements

  • Must be able to travel up to 25%+ of the time.
  • Physical ability to sit, stand and move freely about the office.
  • Must be able to remain in a stationary position up to or exceeding 50%. 
  • Ability to stand, walk and sit for long periods; ability to climb stairs.
  • Ability to bend, stoop, kneel, squat, twist, reach, and pull.
  • Constantly operates a computer and other office productivity machinery, such as copy machine, and computer printer.

 

 

Key Attributes/ Skills: 

  • Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles.
  • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
  • Is able to work within the Better Health environment by facing tasks and challenges with energy and passion.
  • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.

Pay Range

USD $71,750.00 - USD $111,250.00 /Yr.

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