Manager, Payer Relations – Strategic Partnerships

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

📋 Description

• Act as the main contact for designated U.S. health plan partners post-contract execution.

• Build and nurture relationships with payer representatives, network management, provider relations, clinical operations, and executive leadership.

• Establish consistent communication with payers, including regular check-ins, performance evaluations, and strategic planning sessions.

• Gain a comprehensive understanding of each payer’s organizational structure, priorities, patient demographics, and business goals.

• Represent Rocket Doctor in meetings, conferences, and discussions with payers.

• Identify and address payer issues while resolving operational challenges.

• Promote payer satisfaction, ensure contract retention, and foster partnership expansion.

• Gather, analyze, and organize patient utilization and operational data pertinent to payer partnerships.

• Create and maintain performance reports and dashboards for payers.

• Prepare monthly and quarterly performance summaries for payer representatives and Rocket Doctor leadership.

• Convert clinical and operational data into actionable insights that illustrate value to payer partners.

• Detect trends, care gaps, and opportunities to enhance patient engagement, utilization, and access to healthcare.

• Work collaboratively with internal teams to guarantee data accuracy, consistency, privacy, and compliance with contracts.

• Keep abreast of the U.S. healthcare insurance landscape and developments in virtual care reimbursement, value-based care, and digital health.

• Spot opportunities to showcase measurable value through enhanced access, efficient service delivery, and innovative care models.

• Provide leadership with insights regarding payer needs, market trends, and potential service opportunities.

⛳️ Requirements

• 4–7 years of experience in healthcare account management, payer relations, strategic partnerships, provider relations, or a comparable role in healthcare business development.

• Prior experience collaborating directly with U.S. health insurance plans, especially Medicaid, Medicaid managed care organizations, Medicare, and/or healthcare organizations serving payer populations.

• Proven ability to cultivate and sustain professional relationships with healthcare executives, health plan representatives, and operational stakeholders.

• Experience managing existing client or payer accounts with a track record of account retention, relationship development, and business growth.

• Strong comprehension of the U.S. healthcare system, including commercial insurance, Medicare Advantage, Medicaid managed care, and payer-provider relationships.

• Proficient in collecting, analyzing, and presenting healthcare utilization, operational, or financial performance data.

• High proficiency in Microsoft Excel, PowerPoint, and reporting or data visualization tools.

• Experience in preparing and delivering professional presentations, performance reports, and business reviews to external partners.

• Exceptional written and verbal communication skills, with the ability to distill complex information into clear, actionable recommendations.

• Strong organizational and project management skills, capable of managing multiple payer relationships, priorities, and deadlines.

• Solid business acumen with the ability to identify opportunities for revenue growth and partnership expansion.

• Organized, positive, professional, and relationship-focused.

• A passion for enhancing access to care for patients in need throughout the United States.

• Capability to work remotely, embrace new challenges, and exhibit self-motivation.

• A Bachelor’s degree in Business Administration, Healthcare Administration, Public Health, Finance, or a related field is preferred.

• Familiarity with HEDIS, Medicare Star Ratings, and value-based care metrics.

• Experience with healthcare claims data, patient utilization reporting, and reimbursement analysis.

• Proficient in using CRM platforms such as Salesforce or HubSpot.

• Previous experience managing enterprise healthcare accounts or expanding existing payer partnerships.

• Experience in a start-up or rapidly growing healthcare technology company.

🏝️ Benefits

• Performance-based incentives.

• Company equity (shares and/or options).

• Occasional travel for payer meetings, industry conferences, and company events.

• Reasonable accommodation.