VP of Payor Contracting at Sleep Doctor

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Full Time

Start Date

Immediate

Expiry Date

12 Jan, 26

Salary

230000.0

Posted On

14 Oct, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payor Contracting, Negotiation, Healthcare Regulations, Financial Modeling, Reimbursement Methodologies, Communication Skills, Presentation Skills, Financial Acumen, Contract Management, KPI Monitoring, Credentialing, Team Development, Strategic Direction, Problem Solving, Leadership, Collaboration

Industry

Wellness and Fitness Services

Description

About Us At Sleep Doctor, we’re helping millions get a full night's rest. As the most trusted name in sleep health, we make better sleep possible with proven support, clear answers, and hands-on care that fits real life. Across our brands—SleepDoctor.com, SleepFoundation.org, and SleepApnea.org—we combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives. If you’re passionate about making better sleep possible—and want to help reshape the future of sleep care—we’d love to meet you. The Role The VP of Payor Contracting is responsible for developing and executing a comprehensive national commercial payor contracting strategy across both the Sleep Doctor PC and DME entities. This individual will lead all aspects of contract acquisition, negotiation, and maintenance with commercial insurance companies (HMOs, PPOs, Managed Care Organizations) to ensure favorable reimbursement rates, optimal contract terms, and broad network access for our integrated services. The ideal candidate will possess deep expertise in both physician/facility contracting and DME contracting, with a proven track record of securing profitable agreements with major national and regional payors. What You Get To Do Every Day Create and lead a national, multi-year commercial payor contracting strategy for both our integrated PC (clinical) and DME (equipment) entities to achieve core business growth objectives Lead all negotiations to secure new and/or improved commercial contracts, ensuring optimal reimbursement rates and favorable utilization terms for both professional sleep services and Durable Medical Equipment Help develop financial models to evaluate contract performance, monitor KPIs, and ensure profitable network participation across all contracts Work directly with the RCM and Finance teams to ensure all negotiated contract terms are accurately loaded, interpreted, and operationalized for proper claims submission and payment Oversee all contracting activities to ensure strict adherence to federal and state healthcare regulations (e.g., Stark Law, Anti-Kickback Statute, HIPAA) and manage the timely credentialing process Serve as the primary liaison for all commercial payor relationships, providing strategic direction, and leading future contracting and team development efforts What You Bring To The Role Minimum of 10 years of progressive experience in healthcare payor contracting, with at least 5 years in a leadership/VP role. Mandatory Experience: Proven track record of successfully negotiating commercial payor contracts for both a Professional Corporation (physician/clinical services) and a Durable Medical Equipment (DME) entity, ideally at a national level. Deep understanding of provider reimbursement methodologies (Fee-for-Service, Value-Based Care, CPT/HCPCS coding, DRGs, etc.) specific to both PC and DME services. Exceptional negotiation, communication (written and verbal), and presentation skills. Strong financial acumen and ability to analyze complex financial data, contract language, and reimbursement models. Who We Are We play an important role in the health & wellness decisions of our audiences, and it’s a responsibility we don’t take lightly. We invest thoughtfully to provide the most expert-driven, audience-first experience We embody rapid, sustainable growth. Run into a challenge or a new opportunity? Everyone on the team rolls up their sleeves and digs in. We’re going to push you to ask big questions and find bold answers. Everyone has a seat at the table, regardless of their title or job description In Seattle, our positions adopt a hybrid model, recognizing the importance of in-person collaboration and remote work. Our newly renovated-office remains open five days a week to those who thrive in a traditional office-environment We love a good celebration! We enjoy what we do because of who we do it with, and take time to celebrate every win – whether ours or a teammate’s Compensation Range $195,000 - $230,000/yr. Note that final compensation is subject to the candidate’s specific qualifications and location, as well as the needs of the company. This position is eligible to participate in the company’s annual bonus plan. The target bonus opportunity is 15% of the base salary. The Company currently provides medical, vision, and dental insurance with 100% of the employee medical, vision, and dental premiums covered by the Company. There is an option to participate in both a medical FSA and dependent care FSA. We offer a 401(k) plan, with fully matching contributions up to 3% of salary and 50% matching from 3% to 5% of salary. You will be eligible for Paid Time Off in accordance with the company’s policies. Our Seattle-based employees will receive commuter benefits. Sleep Doctor is committed to bringing together individuals from diverse backgrounds and perspectives. We strive to create an inclusive environment where everyone can thrive and be their authentic self, feel a sense of community, and do great work together. We are proud to be an equal opportunity employer open to all qualified applicants

Responsibilities

The VP of Payor Contracting will develop and execute a national commercial payor contracting strategy, leading negotiations with commercial insurance companies. This role ensures favorable reimbursement rates and optimal contract terms for integrated services.