Director of Health Plan Business Development

This is a fully remote position, open to applicants in California.

📋 Description

• Take ownership and enhance strategic partnerships with key health plan partners.

• Discover opportunities to strengthen current collaborations and seek new payer contracts that broaden BetterHelp's network or strategic capabilities.

• Negotiate delegated or simplified credentialing models, provider onboarding and roster processes, reimbursement, network terms, and other payer agreements.

• Create strategic frameworks that go beyond conventional network participation, which includes member engagement and distribution, preferred provider relationships, care navigation, and value-based arrangements.

• Establish, cultivate, and sustain relationships with health plans and strategic collaborators.

• Utilize data on provider network activation, reimbursement, member access, utilization, and financial performance to guide payer strategy and negotiations.

• Oversee payer relationships from the initial strategy and contracting phase through to launch and early-stage optimization.

• Develop innovative payer partnership models and commercial structures related to reimbursement, network design, member acquisition, value-based care, and strategic distribution.

• Work collaboratively with Network Operations, Credentialing, Revenue Cycle Management, Legal, Compliance, Data, Product, Marketing, Finance, and Clinical teams.

• Convert payer relationships into enhanced member access and sustainable growth.

⛳️ Requirements

• 5–7 years of experience in health plan partnerships, provider/network contracting, payer strategy, business development, or other relevant healthcare roles, with a proven track record of working directly with health plans.

• Experience in negotiating or working with delegated credentialing, roster-based provider onboarding, or other scalable health plan network models is strongly preferred.

• Familiarity with national health plans, Blue Cross Blue Shield plans, and/or Medicare Advantage networks is preferred.

• A demonstrated history of successfully prospecting, closing deals, and onboarding high-value and high-quality partners and/or affiliates.

• In-depth knowledge of health plan network strategy and operations, including provider contracting, reimbursement, credentialing, provider loading, delegated vs. non-delegated arrangements, claims, and network adequacy.

• Ability to identify and classify top opportunities for growth and expansion.

• Strong negotiation skills and experience in managing vendors and partners.

• Creative, entrepreneurial, and enthusiastic deal closer who can thrive in a startup environment, quickly pivot priorities, and manage multiple projects.

• Exceptional oral and written communication, presentation, interpersonal, and negotiation skills.

• Capable of closing deals and campaigns with partners at all levels.

• Skilled at building and nurturing long-term impactful relationships.

• Diligent and thorough approach to partner relationships, brand safety, and legal compliance.

🏝️ Benefits

• Remote work with regular in-person bonding experiences sponsored by the company.

• Competitive compensation.

• Holistic perks program (including free therapy, employee wellness, and more).

• Excellent health, dental, and vision coverage.

• 401k benefits with employer matching contribution.

• The opportunity to build something that changes lives – and that people love.

• Any piece of hardware or software that will make you happy and productive.

• An awesome community of co-workers.

• Commission bonus.

• Travel expenses covered for required travel to the San Jose, CA office and company-wide offsite.

• Reasonable accommodations for those under unique circumstances who cannot travel.