Head of Payor Strategy

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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• Comfortable using data to improve processes, measure success, and communicate results.
• Ability to identify risks, solve complex problems, and implement practical, scalable solutions.

• 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.

• 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.

• 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?

• Highlight advanced Excel expertise by sharing a one‑page “Payor Portfolio Dashboard” you built (pivot tables, Power Query, slicers, and KPI visualizations) that tracks network enrollment rates, reimbursement lag, and Medicaid vs. commercial mix—attach it as a PDF or include a clickable link in your resume.
• In your cover letter and interview, reference Finni Health’s focus on autism‑specific care; prepare a short case study showing how you negotiated a new Medicaid contract for a behavioral health network, quantifying the impact (e.g., +18% provider enrollment, +12% net‑reimbursement per visit).
• Demonstrate familiarity with payer credentialing workflows by describing the end‑to‑end process you’ve automated (e.g., using Excel‑driven checklists and API data pulls) and be ready to walk interviewers through a live “walk‑through” of a sample credentialing spreadsheet you created.
• Show you can thrive in a fast‑moving, remote startup by outlining your remote collaboration stack (Slack, Zoom, Asana/Trello) and sharing a screenshot or brief video of a real‑time payor‑performance reporting board you co‑managed with cross‑functional teams (clinical ops, finance, product).
• When negotiating salary, research Finni’s Series B funding round and typical head‑level compensation for remote health‑tech roles (base $180‑220k + equity). Prepare a concise “value proposition” slide that maps your past payer‑network growth (e.g., $15M incremental revenue) to the equity upside you’d unlock for Finni Health.