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We save lives while providing the opportunity for people to realize their healthy selves.

VP/SVP of Payor Strategy

Monte Nido

Remote

Monte Nido has been delivering evidence-based eating disorder treatment for over two decades. We offer a full continuum of care—including inpatient, residential, PHP/IOP, and a rapidly growing virtual program—across a national platform of thoughtfully designed treatment centers. Our mission-driven organization combines clinical excellence with compassionate, individualized care to support lasting recovery.

We are seeking a dynamic and strategic leader to serve as our **Vice President or Senior Vice President of Payor Strategy** . This executive-level position will lead our national payor contracting and strategy efforts, with a focus on optimizing reimbursement, advancing value-based initiatives, and ensuring access to care across a multi-site, multi-state footprint. Reporting directly to the CEO, this leader will drive strategic partnerships with national and regional health plans and be a key architect in shaping Monte Nido’s future in a rapidly evolving behavioral health landscape.

Total Rewards:

Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing:

+ Competitive compensation

+ Medical, dental, and vision insurance coverage (Benefits At a Glance (https://montenidoaffiliates.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=2025&hashed=-1683222091) )

+ Retirement

+ Company-paid life insurance, AD&D, and short-term disability

+ Employee Assistance Program (EAP)

+ Flexible Spending Account (FSA)

+ Health Savings Account (HSA)

+ Paid time off

+ Professional development

+ And many more!

We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Responsibilities Include:

Strategic Leadership & Vision

+ Design and implement a forward-thinking payor strategy that aligns with Monte Nido’s growth objectives and evolving care model, including inpatient, residential, PHP/IOP, and virtual treatment services.

+ Serve as a key member of the executive leadership team, providing strategic input on organizational initiatives, geographic expansion, and reimbursement innovation.

+ Drive initiatives that expand access to care through improved reimbursement rates, network participation, and coverage for services across the continuum.

Team Leadership & Development

+ Lead and develop the payor contracting team, fostering a culture of collaboration, accountability, and high performance.

+ Establish clear goals, performance metrics, and developmental pathways for team members.

+ Coordinate cross-functional efforts with finance, clinical operations, legal, and revenue cycle teams to ensure contract terms are achievable and aligned with operational capacity.

Contracting & Negotiation

+ Direct and participate in negotiations for new and renewal contracts with commercial insurers, Managed Medicaid, and government payors.

+ Ensure contract terms optimize reimbursement while supporting Monte Nido’s clinical and financial goals.

+ Negotiate terms related to virtual care, telemedicine, and emerging care delivery models.

+ Collaborate with legal and compliance teams to ensure all contracts meet regulatory and ethical standards.

Value-Based Care & Reimbursement Innovation

+ Evaluate and pursue opportunities for value-based care arrangements, including bundled payments, pay-for-performance models, and shared savings programs.

+ Partner with internal clinical and data teams to develop outcomes reporting capabilities that support value-based care performance.

+ Monitor payer and industry trends in reimbursement innovation and proactively position Monte Nido as a strong clinical and financial partner.

Relationship Management

+ Act as the senior point of contact with national and regional payors, maintaining and growing strategic relationships that support long-term partnerships.

+ Represent Monte Nido in external meetings with health plans, trade organizations, and collaborative coalitions.

+ Serve as the organization’s payor strategy voice in market entry, new program launches, and expansion initiatives.

Performance Analytics & Reporting

+ Oversee financial and operational performance analysis related to payor contracts.

+ Develop dashboards and reporting tools to assess contract value, utilization, and outcomes.

+ Provide regular updates to executive leadership on payer performance, contract negotiations, and strategic risks and opportunities.

Market Monitoring & Regulatory Awareness

+ Stay abreast of evolving legislation, regulatory changes, and payor policies impacting behavioral health reimbursement, including Medicaid, parity laws, and telehealth reimbursement standards.

+ Inform internal stakeholders of potential impacts and position the organization to adapt proactively.

Qualifications:

Qualifications:

+ 7-10 years of leadership experience in payor strategy, contracting, or network development in healthcare, ideally in behavioral health or mental health.

+ Deep expertise in commercial and Managed Medicaid negotiations, with a national or multi-state perspective.

+ Proven experience leading teams and building strong internal and external partnerships.

+ Working knowledge of value-based care models and reimbursement innovation.

+ Familiarity with telemedicine and virtual behavioral health care strongly preferred.

+ Strong analytical skills, business acumen, and ability to think both strategically and tactically.

+ Excellent interpersonal, negotiation, and communication skills.

+ Bachelor’s degree required; Master’s degree in a related field (MBA, MHA, MPH) preferred.

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