Payer Account Manager

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred., 5+ years of experience in a healthcare environment, preferably in payer account management or value-based care operations., Deep expertise in value-based care strategy and payer operations, including Medicare Advantage., Exceptional written and verbal communication skills, with advanced proficiency in Microsoft Office..

Key responsibilities:

  • Manage partnerships with health plans to optimize outcomes for Honest and its partners.
  • Serve as the subject matter expert on payer contract terms and ensure compliance with those terms.
  • Lead communication efforts between Honest and payers, including joint operating committee meetings.
  • Monitor and manage the success of payer partnerships, preparing reports that reflect the value delivered by Honest Health.

Honest Medical Group logo
Honest Medical Group SME https://honestmedicalgroup.com
201 - 500 Employees
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Job description

Who You Are

You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

 

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day’s work.

Your Role

As the Payer Account Manager, you will manage Honest’s partnerships with health plans to ensure Honest, its payer partners, and its provider partners work collaboratively to optimize outcomes. In this role, you will leverage your prior experience in payer account management and/or payer value-based care operations to proactively enable the end-to-end success of Honest’s payer partnerships. To achieve success, you will need to: serve as the internal subject matter expert on executed payer contract terms, develop and articulate long-range payer partner strategy considering current and future-state needs, and closely monitor and manage the success of payer partnerships. You will utilize a collaborative, team approach with our payer partners as well as Honest’s payer contracting, implementation, operations, information technology, quality, and other teams. By doing so, you will drive significant improvements in growth, customer experience, and operational performance.

 

Primary Functions of the Payer Account Manager Include:
  • Support the development of payer management strategies and direct ongoing activities.
  • Partner closely with Honest’s payer contracting, implementation, operations, information technology, quality, and other teams to ensure ongoing execution of the market strategy.
  • Monitor and manage the ongoing success of payer partnerships, including:
  • Serving as the internal and external subject matter expert on payer contract terms, once fully negotiated and executed, including responding to inquiries from internal stakeholders and external partners as well as escalating concerns when contract terms are not followed
  • Establishing, preparing for, leading, and documenting communication cadences between Honest and payers (e.g., joint operating committee meetings)
  • Identifying, documenting, resolving, and escalating issues through cross-functional collaboration
  • Preparing and distributing reports to payers that reflect the value Honest Health delivers to each partnership
  • Designing, administering, and reporting out experience surveys to key stakeholders
  • Staying up-to-date on payer industry trends and implementing best practices
  • Develop systems for advancing payer partnerships to meet the ongoing needs of Honest and its provider partners.
  • Balance empathy, advocacy, and ability to drive results by being an effective collaborator with our payer partners.
  • Perform other related responsibilities as needed.

 

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

  • Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree in healthcare administration or business administration or graduate degree in business or related field preferred
  • 5+ years of experience in a healthcare environment, preferably with demonstrated success in a payer account manager role or payer value-based care operations role
  • Deep expertise in value-based care strategy and payer operations (e.g., Medicare Advantage) and pillars (e.g., medical management, Stars, clinical documentation, etc.)
  • Ability to manage expectations across multiple stakeholders, continually reinforcing the necessary blueprints and change management techniques to realize the true efficiency and effectiveness of value-based models, including global/full-risk arrangements
  • Ability to proactively develop high-quality materials, work on concrete deadlines, and deliver results independently
  • Exceptional written and verbal communication skills
  • Advanced skills in Microsoft Office (Outlook, Word, PowerPoint, Excel, Dynamics)
  • Demonstrated past ability to lead and/or influence a team to successful execution of strategic priorities in a matrixed environment
  • Comfort working in a fast-paced, ground-up, business build with a strong bias for action

 

The base pay range for this role is $105,600.00 - $121,400.00. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

 

How You are Supported

Full time team members may be eligible for:

Competitive Compensation

  • Attractive base salary with performance-based bonuses and rewards
  • 401(k) plan with a generous company match, fully vested from day one

Comprehensive Health and Wellness Benefits

  • Flexible health, dental, and vision insurance options tailored to your needs
  • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
  • 100% company-paid short-term disability, long-term disability, and life insurance
  • Wellness programs and resources to support your physical and mental health

Work-Life Balance

  • Generous paid time off, including vacation, sick leave, and 11 paid holidays annually
  • Two paid volunteer days to support causes you're passionate about
  • Flexible work arrangements to accommodate your lifestyle

Professional Development

  • Robust onboarding program and ongoing training opportunities
  • Reimbursement for role-related continuing education and certifications

Family-Friendly Policies

  • Paid parental leave for new parents
  • Dependent care flexible spending accounts
  • Support for work-life integration

Collaborative and Purpose-Driven Environment

  • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
  • Opportunities to contribute to meaningful projects and initiatives

Additional Perks

  • Team member recognition programs
  • Team-building events and social activities

Join us and experience a rewarding career where your contributions are valued and your growth is supported.

 

Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. 

Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com or Honest-Health.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honesthealth.com.

 

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Communication
  • Microsoft Office
  • Empathy
  • Teamwork
  • Problem Solving

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