- Specializes in enabling organizations to scale insurance-enabled care services quickly and nationwide.
- Provides a platform that handles provider credentialing, insurance billing, and network infrastructure across all 50 states.
- Offers easy technical integration through APIs and compatibility with existing systems.
- Focuses on improving patient experience by making coverage and cost information visible in real time.
- Helps organizations reduce overhead, expand access, and launch services rapidly.
- Own and expand strategic relationships with national and regional health plans across commercial, ACA, and Medicare lines of business.
- Identify decision-makers, multi-thread payer organizations, and tailor value story to payer priorities around quality, access, and cost.
- Drive national and multi-state agreements that materially increase covered lives and market access for clinic partners.
- Establish and run a Health Plan Advisory Board to strengthen relationships, sharpen strategy, and accelerate payor partnerships.
- Serve as the internal voice of the payer, translating payer needs, priorities, and future-state requirements into actionable company strategy.
- Stay closely connected to the payer ecosystem through conferences, investor updates, and direct payer engagement.
- Inform product development, network strategy, and growth planning based on evolving payer trends and reimbursement models.
- Lead negotiations to improve reimbursement rates and contract economics across existing and new payer relationships.
- Manage annual renegotiations and expansion efforts, ensuring rate structures support clinic partner growth and sustainability.
- Partner closely with RCM leadership to align payer terms with operational and revenue performance.
- Manage and develop the existing payer contracting team member, ensuring clear ownership between strategic and tactical responsibilities.
- Collaborate closely with executive leadership, RCM, and operations to align payer strategy with company execution.
- 7-12+ years in health plan partnerships, network contracting, health plan strategy, or related healthcare GTM roles, ideally in virtual care or digital health.
- Proven track record negotiating and closing commercial and/or Medicare Advantage network contracts with strong economic outcomes.
- Ability to build senior payor relationships strong enough to recruit and sustain an advisory board that creates real business leverage.
- Experience expanding payer relationships beyond initial contracting into strategic, multi-state or national agreements.
- Excellent communication skills with the ability to influence senior stakeholders at payors and internally
- Deep understanding of reimbursement mechanics (CMS benchmarks, fee schedules, code sets, carve-outs)
- Experience negotiating value-based arrangements, delegated programs, or innovative payor partnership structures
- Prior experience at a Series A/B healthtech company building the playbook for scale
- Medical, Dental, Vision
- We have truly great medical insurance plan options with 100% employer paid for employees at the base plan.
- Family is employer covered at 67%
- Dental and vision are industry standard
- Unlimited time off
- 401K
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Payer Partnerships - United States - Direct Recruiters
Description
Job DescriptionClient Summary:
Payer Sales and Relationship Expansion
Required Experience and Qualifications:
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Senior Director, Market Access
Full time Only for registered members United States
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Director of Payer Relations
Only for registered members United States
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Director National Accounts
Full time Only for registered members United States
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Senior Manager, Partner Success
Only for registered members United States
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Senior Manager, Partner Success
Only for registered members United States
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Senior Director, Value Based Contracting
Only for registered members United States
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Senior Integration Engineer
Only for registered members United States
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Strategic Partnership Lead
Only for registered members United States
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SVP, Payer Market
Only for registered members United States
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Senior Integration Engineer
Only for registered members United States
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Strategic Partnership Lead
Only for registered members United States
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Head of Payer Sales
Only for registered members United States
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Enterprise Account Executive
Only for registered members United States
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Account Executive
Only for registered members United States
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Enterprise Account Executive
Only for registered members United States
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Manager, Payer Operations and Enablement
Only for registered members United States
-
Market Access Manager
Only for registered members United States
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Executive Director, US Value
Only for registered members United States
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Director, US Value
Only for registered members United States
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Director National Accounts
Only for registered members United States
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Head of Payer Sales
Only for registered members United States