Manager, Payor Operations
Happy Health is revolutionizing sleep medicine delivery through our comprehensive telehealth platform. We've eliminated the traditional barriers to sleep care – no more waiting months for appointments or spending uncomfortable nights in sleep labs. Our patients receive FDA-cleared home sleep testing via Happy Ring, connect with board-certified sleep specialists, and when required, begin evidence-based treatment within just 5 days. Ongoing physiological data monitoring with the Happy Ring enables real-time condition management, combination therapies, and drives measurable outcomes.
Happy Ring represents the future of sleep diagnostics: an FDA-cleared medical device integrating advanced biometric sensors with AI-powered analysis to deliver highly accurate diagnostics and longitudinal management at home. For sleep medicine physicians, this means you'll have access to high-quality diagnostic data that empowers you to make confident clinical decisions for your patients, and integrate multimodal treatments that focus on root-cause solutions.
About the Role
Happy Sleep is looking for a Manager of Payor Operations to lead our credentialing and payor operations function — with a primary mandate to secure national payor agreements that let Happy Sleep operate at scale across markets. You'll manage a Credentialing Specialist who handles day-to-day credentialing execution, while you focus on the strategic relationships, contracting, and negotiation work that gets Happy Sleep in-network nationally rather than payor-by-payor, state-by-state.
You'll be the connective tissue between clinical operations, revenue cycle, and insurance payors — making sure nothing falls through the cracks that could delay a provider's ability to bill or a patient's ability to be seen, while also driving the bigger swing: converting a patchwork of regional payor relationships into durable, national agreements.
This role is a strong fit for someone who has run credentialing/payor ops hands-on, has direct experience negotiating with national payors, and is energized by moving between "in the weeds" problem-solving and high-stakes payor relationship management. You'll report to VP of Finance and will have significant latitude to shape how this function is built.
What You'll Do
National Payor Agreements
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Lead the strategy and execution to move Happy Sleep from state-by-state, payor-by-payor enrollment toward national in-network agreements with major commercial payors
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Build and pitch the business case for national contracting to payor leadership — data on volume, quality, cost savings, and network adequacy and, most importantly, health outcomes
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Own negotiations (or partner closely with Legal/Finance on) rates, terms, and effective dates for national agreements
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Sequence and prioritize which payors to pursue first based on member volume, existing patient overlap, and strategic fit
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Given Happy’s model, some payers gravitate toward a vendor or bundled arrangement with a path to a value based, shared savings model. You’re prepared to embrace this nuance and get it across the finish line
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Track and report progress on national agreement pursuit to executive leadership, including risks, blockers, and timeline
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Once agreements are signed, ensure smooth operational rollout — timely provider data load, fee schedule loading, updated payer directory and internal communication so billing/RCM can execute cleanly
Team Leadership
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Directly manage a Credentialing Specialist, providing day-to-day guidance, workload prioritization, and professional development
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Set clear SLAs and KPIs for credentialing turnaround time, clean application assembly , and renewal compliance, and coach the team to hit them
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Step in on complex or escalated credentialing/enrollment cases as needed
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Aid in forming responses to network managers that foster relationship building
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Continuously improve the systems, workflows, and tooling that support credentialin