Behind the Scenes of Power: Emotional Labor in Negotiation

In this episode of the VBCA podcast, host Alex Yarijanian delves into the often overlooked yet crucial aspect of leadership: emotional labor. Discover how managing emotions plays a pivotal role in negotiations and leadership effectiveness. Alex shares personal experiences and insights on how emotional labor can be both a powerful tool and a silent tax on leaders, especially for those challenging dominant norms. Tune in to learn how to harness emotional intelligence to build trust and lead with empathy and strength.

Takeaways:

  • In the realm of healthcare leadership, emotional labor serves as an essential yet often unacknowledged component that significantly influences negotiation outcomes.
  • Effective leadership necessitates an acute awareness of emotional dynamics, as managing feelings is integral to fostering productive dialogue among stakeholders.
  • The notion of emotional labor encompasses not just personal emotional management, but also the responsibility to create a supportive environment for others.
  • A leader's capacity to engage in emotional labor can lead to profound transformations, underscoring the importance of empathy and understanding in professional interactions.
Transcript
Speaker A:

Welcome to the VBCA podcast where we explore the inner mechanics of value based care, the psychology of leadership and the often unspoken forces that shape our healthcare system.

I'm your host, Alex Yarijanian and today I want to talk about something that isn't in your contract or your KPI report, but it lives in every negotiation, every strategy session, and even difficult conversations you've had as a leader. And I'm talking about emotional labor. Now, emotional labor isn't a clinical term.

It was first coined by sociologists, sociologist Arlie Hochschild to describe the work required to manage feelings, yours and others, as part of your job. Think flight attendants smiling through turbulence. Or therapists absorbing pain without showing their own right.

But in healthcare leadership, emotional labor sounds like this one. Holding space for a provider who feels burned out while negotiating rates and is coming at you.

Calming a payer executive's anxiety about risk based contracting, pitching a core model that saves lives. To a CFO who's only focused on utilization metrics, it's the emotional finesse behind the scenes that really takes a toll. Let me give you an example.

Last year I was in a multi stakeholder negotiation. I was advocating for expanded maternity benefits for low income mothers, dual access, community based care, all of it.

One of the executives across the table, you know, brilliant person, data driven, kept pushing back. Rather than escalate, I shifted the tone. I asked that about their experience with childbirth. I let silence work.

I didn't meet resistance with friction. I met it with empathy. That's emotional labor and that isn't easy. I had to suppress frustration. I had to manage my own self talk.

I had to show strengths and softness. Some of you know me know I have a tic, so I have to manage my tics. And so why don't we talk about this more often?

Why don't we talk about the emotional labor? It's the silent tax of emotional labor. That's really something that does over time weigh you and burn you out.

Because it's invisible, because it's feminized. Because in boardrooms we reward logic over emotional intelligence.

But the truth is really leaders who perform high levels of emotional labor are often quite understated. They're underestimated and at the same time they are over relied upon.

This is especially true for those whose leadership already challenges dominant norms. Their emotional labor is higher. Their emotional labor isn't optional. It's required just to be heard.

So how does emotional labor come out in negotiations? Negotiation is a theater of emotions. You're managing power, fear, scarcity, ego Your emotional labor is your unseen toolkit. Here's how I use it. 1.

I scan the emotional field. Who's tense, who's posturing, who's disconnected their collective body language, individual body language to the extent possible.

Then I adapt my energy. If the room is cold, I warm it up. If it's aggressive, I slow it down. And third really is I separate ego from object. It's not about being right.

It's about being effective. But let me be clear. This isn't about manipulation. It's about alignment. Emotional labor done right builds trust.

And trust is the currency that you have. How to protect yourself, though you might wonder, and you need to know. Here's the hard part. If you don't name it, emotional labor will burn you out.

You'll feel exhausted and not know why. You'll give and give and start to resent your own leadership. I don't want you to get there. So here's what I've learned.

This is what you know I should be doing more often. And part of this I'm sharing with you guys is so that I could further reinforce my own practice of this kind of following.

So, tracking it, literally journaling. Where did I spend emotional energy today? Speaking it in your leadership circles. Talk about it. Normalize it. Protecting boundaries.

So emotional labor is powerful, but it's not infinite. There needs to be protection of one's boundaries. You're not a sponge for everyone else's feelings, But a vessel for transformation is in my notes.

And that's been quite helpful for me to the extent to which I do put it in practice. So if you're a leader, if you're a healthcare leader, you already know this work is personal. You're not just moving contracts, you're moving people.

And that takes heart. And thank you for doing the invisible work. Thank you for tuning into this episode. Let's keep leading with strength, clarity, and compassion.

And if this resonates with you, share it with a colleague. And as always, stay bold, stay kind, and stay in the arena. I'm Alex Yarijanian, and until next time.

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About the Podcast

Value Based Care Advisory (VBCA) Podcast
Demystifying healthcare transformation: Actionable insights and expert strategies for advancing value-based care and improving outcomes for all
The VBCA Podcast is a solution-focused platform dedicated to advancing the transformation of healthcare through value-based care (VBC) models. Our mission is to break down complex healthcare topics into accessible, actionable insights for leaders, entrepreneurs, engaged consumers, and anyone passionate about meaningful change in healthcare. By challenging the healthcare industrial complex, we provide tools, strategies, and expert perspectives that empower our listeners to navigate and accelerate the shift toward better outcomes, lower costs, and improved patient experiences.

Each episode delivers thought-provoking discussions and practical advice from industry experts, spotlighting innovative approaches to healthcare reform and highlighting voices that are often overlooked in traditional dialogues. Whether you're a healthcare executive, provider, payer, policy influencer, entrepreneur, or informed patient, we aim to inspire new ideas and support you in driving transformation in the healthcare space.

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About your host

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Alex Yarijanian

Alex Yarijanian is a visionary healthcare executive with over 15 years of experience in healthcare strategy, payer-provider relations, and value-based care models. As CEO and Founder of Carenodes, Alex has led efforts to integrate nonmedical services into healthcare, promoting a biopsychosocial model that focuses on holistic patient well-being. This initiative has reached 51 million Americans, supported by $1.5 billion in funding for innovative healthcare technologies.

In his role as Enterprise Leader for Value-Based Care and Payer Contracting at Mahmee, Alex spearheaded national expansion and contracting initiatives, negotiating partnerships with major payers across 43 states, saving $58 million for a Medicaid plan by reducing C-section rates.

His strategic insights have also driven significant operational efficiencies at Neuroglee Therapeutics, where as Senior VP, he enhanced Alzheimer’s and cognitive care services through digital therapeutics, expanding payer networks by 95%.

Alex’s career is marked by a commitment to healthcare as a right, advocating for patient-centered, equitable healthcare systems. His educational background includes a Master’s in Healthcare Administration from California State University, Long Beach, and a Bachelor’s in Psychology from the University of California, Riverside.