Full-Time

Payor Strategy

Confirmed live in the last 24 hours

Fay

Fay

1-10 employees

Affordable nutrition counseling with insurance coverage

Healthcare

Senior, Expert

Remote in USA

Remote work is available; NYC or San Francisco may be preferred for occasional in-office presence.

Category
Insurance
Finance & Banking
Requirements
  • Proven history of leading payor contracting, including direct negotiations with national / local players
  • Strong knowledge of healthcare service payment strategies
Responsibilities
  • Expand and develop a strategy for payor contracting across existing and new health plans
  • Proactively research, identify, build, and maintain relationships with key stakeholders at target health plans to identify opportunities for collaboration and partnership
  • Develop individualized partnership proposals tailored to the needs of target health plans, keeping in mind the overall goal of increasing access to and delivering quality healthcare services
  • Negotiate new contracts and more favorable rates to ensure maximum revenue and operational efficiency and compliance
  • Direct and support the launch of new markets / new states via contracting with local, regional, and national payors
  • Act as a highly metrics and process driven leader, optimizing collections and insurance / verification while working closely with the RCM team to develop a cohesive end to end reimbursement process
  • Create, drive, and track KPIs and quality indicators for payors including contract volumes, rates and benchmarks
  • Identify, track, and manage all contracts and contract terms; develop ongoing strategies for better contracting maintenance processes
  • Maintain expertise with FFS and, when appropriate, risk based contracting (VBC) payments relative to dietician practice performance, member experience measures, clinical quality measures, and other related measures that drive total cost of care
  • As the company continues to grow, recruit, retain, and mentor a top-tier payer function and team that can successfully scale with the organization

Fay Nutrition provides affordable nutrition counseling by connecting clients with qualified dietitians and nutritionists who accept insurance. This service significantly lowers the cost of professional nutrition advice, allowing clients to access sessions for as little as $10 or even for free, compared to the typical $300 fee. Fay operates both online and in-person, offering flexibility for clients who can choose between virtual consultations or face-to-face meetings. This hybrid model enhances client satisfaction and broadens market reach. Additionally, Fay supports dietitians and nutritionists by helping them get credentialed with insurance companies, which allows them to grow their private practices and increase their client base. The goal of Fay Nutrition is to make professional nutrition counseling accessible to everyone, particularly those managing chronic conditions or seeking general wellness.

Company Stage

Series A

Total Funding

$24.3M

Headquarters

Barrington, Illinois

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Fay raised $25M to expand growth and integrate with food service platforms.
  • The telehealth market is expected to grow at a CAGR of 25.2% until 2028.
  • Corporate wellness programs are projected to reach $87.4 billion by 2026.

What critics are saying

  • Increased competition from telehealth platforms could dilute Fay's market share.
  • Dependence on insurance partnerships may pose risks if terms change.
  • Economic downturns could reduce employer partnerships, impacting revenue.

What makes Fay unique

  • Fay partners with insurance companies to offer affordable nutrition counseling services.
  • The company provides a hybrid model of online and in-person consultations.
  • Fay supports dietitians in starting and growing their private practices.

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