Insurance Network DeveloperVAUSA
The ideal candidate for this role is a seasoned, results-driven Insurance Network Developer with a proven track record of building and expanding nationwide payer networks. This role is not administrative; it is strategic and execution-focused. The ideal candidate has already secured multi-state and national payer contracts in DME or healthcare services and can immediately apply that experience to position Forbes AAC as an in-network provider across the country.
You will lead all aspects of payer contracting—identifying opportunities, negotiating terms, ensuring credentialing, and driving execution—while collaborating with internal reimbursement and compliance teams.
Full time, Monday - Friday, 8am-5pm EST or CST
Establish, negotiate, and secure contracts with commercial and government payers nationwide, with a focus on durable medical equipment (DME) coverage.
Drive Forbes AAC’s expansion into new markets by strategically developing a national payer footprint.
Lead and oversee all credentialing and re-credentialing processes with payers, ensuring Forbes AAC is in-network across multiple states.
Build compelling, mission-driven proposals that reflect Forbes AAC’s faith-based values and demonstrate measurable value to payers.
Collaborate with billing, reimbursement, and compliance teams to ensure contract terms are met and leveraged effectively.
Serve as the primary liaison with payer contracting teams, developing and maintaining strong, long-term relationships.
Maintain detailed tracking of contracts, timelines, and payer communications to support executive decision-making.
Monitor payer trends, reimbursement policies, and regulatory changes, adjusting strategy to maximize contracting success.
Report regularly to senior leadership on progress toward national contracting goals.
In this role, success will be measured by your ability to:
Secure at least 10 new national or multi-state payer contracts within the first 12 months, including at least one of the top five commercial payers.
Achieve credentialing and active in-network status in 15+ states within 18 months.
Deliver measurable reimbursement improvements through newly negotiated contracts.
Build and maintain a centralized tracking system for all payer relationships within 90 days of hire.
Provide quarterly executive reports outlining payer expansion progress and ROI on network development.
Proven success in developing nationwide payer networks, with documented achievements in securing and expanding in-network contracts for DME or related healthcare services.
Minimum 5–7 years of direct payer contracting experience, including multi-state Medicaid programs, Medicare, and top-tier commercial payers (UnitedHealthcare, Aetna, Cigna, BCBS affiliates, etc.).
Demonstrated ability to lead payer contracting strategies from initial outreach through executed agreements.
Strong understanding of payer requirements, reimbursement structures, billing codes, and DME-specific challenges.
Excellent negotiation, communication, and relationship-building skills, with a confident and assertive presence.
Highly organized with the ability to manage multiple payer relationships and timelines simultaneously.
Mission-aligned, passionate about expanding access to AAC for individuals with complex communication needs.
The company exists to share the love of Christ by providing communication devices and advocating for those in need, with a vision to transform the world through innovative products that serve people with communication disorders.
*This is a direct recruiting role through VAUSA
