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Payor Contracting Specialist
Payor Contracting SpecialistSonderMind • Hartford, CT, US
Payor Contracting Specialist

Payor Contracting Specialist

SonderMind • Hartford, CT, US
5 days ago
Job type
  • Full-time
Job description

Payor Contracting Specialist

SonderMind is seeking a Payor Contracting Specialist who brings precision, organization, and a process-driven mindset to a growing, fast-paced team. Reporting to the Manager of Payor Operations, you'll play a key role in ensuring the accuracy and efficiency of SonderMind's payor contracting function.

In this role, you'll manage the day-to-day operational and administrative processes that support payor contracting, from data analysis and rate management to reporting and project coordination. Success in this position requires strong analytical skills, attention to detail, and the ability to drive results through organized, high-quality execution.

What You'll Do

The Payor Contracting Specialist will be a key member of the team supporting the overall strategy of the payor contracting department and will primarily focus on the following functions :

  • Investigate, research and understand payor markets on a state level basis
  • Payor mix analysis
  • Reimbursement trends
  • Products with commercial and government payors
  • Review and maintain the contract life cycle process
  • Load payor contracts into designated contract management database
  • Track red-line agreements back and forth to the payors
  • Prepare Agreements for signature
  • Internal new payor announcements
  • Payor Contract rate management
  • Load new payor rates into designated database with accuracy as a focus
  • Seek out fee schedules on a quarterly basis to identify any changes
  • Proactively review fee schedules against insurance allowed amounts
  • Assist Payor Managers with joint operating committee calls
  • Prepare agendas, organize meeting notes, and coordinate follow ups
  • Create presentations utilizing data
  • Support new initiatives and contracting efforts that will maximize reimbursement and / or partnership opportunities
  • Research and project manage
  • Maintain documentation and organize the payor contracting department databases, shared drives and other tools

What Does Success Look Like?

  • Within one month, have an understanding of SonderMind's product / offerings and an ability to communicate this with confidence; develop a familiarity with internal systems needed to perform the role.
  • Within three months, accurately manage rates, review fee schedules, and support Payor Managers in committee meetings. You should demonstrate a level of understanding of contract language terms and create data-driven presentations, research payor products, and manage new contracting initiatives.
  • After three months, with the guidance and support of department leadership, contribute to the implementation of efficiencies to decrease overall contracting timeframes and increase accuracy of contract administration tasks. You'll implement tools to track performance, support team initiatives, and maintain organized systems acting as the key internal resource for cross functional partners.
  • Who You Are

    You're a detail-driven professional who thrives in a fast-paced, collaborative environment and takes pride in bringing structure and accuracy to complex processes. You have a strong analytical mindset and enjoy translating data into meaningful insights that drive smarter decisions and stronger partnerships.

  • Experience : 2+ years of experience in healthcare operations, payor contracting, or a managed care setting on either the payor or provider side.
  • Education : Bachelor's degree preferred.
  • Skills : Deep analytical and financial acumen, strong data management capabilities, and comfort navigating both Microsoft and Google platforms.
  • Strengths : Organized, proactive, and resourceful with the ability to work independently, meet deadlines, and adapt to shifting priorities.
  • Communication : Excellent written and verbal communication skills with the ability to engage cross-functional partners and present information clearly.
  • Mindset : Curious, motivated, and mission-driven. Eager to contribute to SonderMind's goal of improving access to high-quality mental healthcare.
  • Bonus : Familiarity with the mental health industry, including payors, providers, and patients is a plus.
  • Our Benefits

    The anticipated salary range for this role is $72,000 - $81,000. Final compensation will be determined based on a variety of factors, including relevant experience, skills, education, and past performance. In addition to base salary, this position is eligible to participate in our equity incentive plan.

    As leaders in redesigning behavioral health, we walk the walk with our employees' benefits. We want the experience of working at SonderMind to accelerate people's careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their lives and work.

    Our benefits include :

  • A generous PTO policy, with a minimum of three weeks off per year
  • A holiday schedule that follows standard U.S. holidays
  • Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
  • Competitive Medical, Dental, and Vision coverage, with plans to meet every need including HSA (with $1,100 company contribution) and FSA options
  • Employer-paid short-term disability, long-term disability, life & AD&D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
  • Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 816 weeks of paid leave
  • 401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
  • Join teammates from across the country at our annual company gathering
  • Company shutdown between Christmas and New Year's
  • Supplemental life insurance, pet insurance, commuter benefits, and more
  • Application Deadline

    This position will be an ongoing recruitment process and will be open until filled.

    Equal Opportunity

    SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.

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