Head of Payor Strategy

Job description

ABOUT FINNI HEALTH Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and Y Combinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. WHAT YOU WILL BE DOING As a Head of Payor Strategy, you will own the operational and strategic management of Finni Health's payer network. You will be responsible for ensuring providers successfully join and remain in-network with commercial and Medicaid payers while optimizing the performance and long-term value of our payer portfolio. This role combines business operations, payer strategy, and team leadership. You'll oversee payer contracting operations, enrollment, revalidation, compliance, and payer relationships while driving operational excellence across the organization. You'll work cross-functionally with Product, Revenue Cycle, Provider Success, Compliance, and Finance to ensure our payer network enables providers to launch and grow successful practices. Payer Strategy & Network Growth - Develop and execute strategies to expand and optimize Finni's payer network. - Evaluate commercial and Medicaid payer opportunities based on strategic fit, reimbursement potential, and long-term business value. - Partner with leadership to prioritize payer partnerships that support Finni's growth strategy and provider success. - Build and maintain strong relationships with payer representatives to improve network access and operational performance. - Identify opportunities to strengthen existing payer partnerships and improve contract performance. Business Operations & Team Leadership - Lead and develop the team responsible for payer enrollment, contracting operations, and network maintenance. - Establish KPIs, reporting, and operational processes to drive accountability and operational excellence. - Ensure provider enrollments are completed accurately and efficiently so providers can successfully become in-network. - Identify operational bottlenecks and implement scalable solutions that improve speed, quality, and provider experience. - Manage internal and offshore resources to ensure timely execution and consistent operational performance. - Build systems and workflows that support rapid provider and market expansion. Network Maintenance & Compliance - Oversee revalidation, recredentialing, roster management, demographic updates, and ongoing payer maintenance activities. - Ensure all payer deadlines, renewals, and compliance requirements are proactively managed to prevent network lapses. - Maintain accurate contract documentation, payer records, and operational data. - Partner with Compliance and Revenue Cycle teams to ensure adherence to payer requirements and regulatory standards. - Prepare and present operational data, compliance metrics, and network performance reporting for internal leadership and payer partners. - Support payer audits, escalations, and operational issue resolution. Business Performance & Process Improvement - Own operational metrics related to payer enrollment, network growth, revalidation, and team performance. - Analyze operational data to identify trends, improve workflows, and support strategic decision-making. - Lead initiatives that improve scalability, reduce administrative burden, and enhance provider satisfaction. - Collaborate with Product and Operations teams to improve internal systems and automate manual processes where possible. - Drive continuous improvement efforts that increase efficiency and support Finni's long-term growth. Cross-Functional Collaboration - Partner closely with Credentialing, Revenue Cycle Management, Provider Success, Product, Compliance, Finance, and Executive Leadership teams. - Serve as the operational owner for initiatives involving payer network growth and provider onboarding. - Align stakeholders around strategic initiatives that improve network access, operational efficiency, and provider success. - Contribute to special projects and evolving responsibilities as Finni Health continues to grow. ABOUT YOU You are a strategic, execution-oriented operations leader who enjoys building scalable systems and solving complex operational challenges. You thrive in fast-paced environments, use data to drive decisions, and know how to balance day-to-day execution with long-term business strategy. Experience - 4+ years of experience in healthcare operations, payer operations, network management, revenue cycle operations, credentialing, provider enrollment, or a related healthcare function. - Experience working with commercial and Medicaid payers is required. - Experience with payer contracting, provider enrollment, revalidation, and network maintenance is strongly preferred. - Experience in behavioral health, ABA, mental health, healthcare services, or healthcare technology is preferred. - Previous people management experience preferred. - Startup or high-growth company experience is a plus. Business Operations & Leadership - Proven ability to build and scale operational processes in a fast-paced environment. - Experience managing KPIs, operational reporting, and performance metrics. - Strong project management skills with the ability to manage multiple priorities simultaneously. - Demonstrated success leading teams, driving accountability, and improving operational outcomes. - Ability to balance strategic thinking with hands-on execution. Analytical & Strategic Thinking - Strong analytical skills with the ability to evaluate payer performance, identify operational opportunities, and support business decisions. - Comfortable using data to improve processes, measure success, and communicate results. - Ability to identify risks, solve complex problems, and implement practical, scalable solutions. Communication & Collaboration - Excellent written, verbal, and interpersonal communication skills. - Proven ability to build relationships with payer partners and collaborate across cross-functional teams. - Comfortable presenting operational performance, compliance metrics, and business insights to leadership and external stakeholders. - Strong stakeholder management and influencing skills. Organizational & Technical Skills - Highly organized with exceptional attention to detail. - Proficient in Google Workspace, Slack, CRM platforms, project management tools, and healthcare operations systems. - Experience with credentialing, enrollment, payer management, or revenue cycle platforms is a plus. Mission Alignment - Passion for Finni Health's mission to democratize autism care and empower providers through innovative operational infrastructure. Adaptability & Agility - Comfortable thriving in a dynamic, fast-paced startup environment. - Excited to build, iterate, and scale processes as the organization continues to grow. - Demonstrates ownership, resourcefulness, and a bias toward action. Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!