Payer Partnerships Director

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

📋 Description

• Oversee the comprehensive payer contracting strategy to secure new contracts and enhance payer coverage in key target markets.

• Negotiate rates, terms, and contractual language with both national and regional health plans.

• Propel the contracting roadmap from initial outreach to the execution and implementation of contracts.

• Collaborate with Operations, Business Development, and Clinical leadership to comprehend market activation strategies and prioritize contracting targets.

• Convert market expansion and business development objectives into focused network development initiatives.

• Act as a subject matter expert regarding the payer landscape for cross-functional internal teams.

• Foster and maintain long-term relationships with decision-makers and network managers at health plans.

• Serve as the primary relationship manager for payer partners.

• Evaluate market trends, competitive intelligence, and reimbursement landscapes.

• Monitor and report on contracting KPIs and network adequacy.

• Modify and reprioritize strategies to enhance access to care for members.

⛳️ Requirements

• A minimum of 12 years of progressive experience in payer contracting, network development, or managed care, ideally within the digital health, behavioral health, or health tech sectors.

• Demonstrated success in sourcing, negotiating, and executing complex fee-for-service and/or value-based contracts with national and regional health plans.

• Extensive experience in aligning business development, operations, and executive teams to advance a unified market strategy.

• Comprehensive understanding of the health plan landscape, credentialing processes, reimbursement methodologies, and regulatory requirements.

• A self-starter who excels in fast-paced, ambiguous environments.

• Proven capability to independently establish new relationships and navigate lengthy, complex sales and contracting cycles.

🏝️ Benefits

• Discretionary bonuses.

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life, and disability insurances).

• Lyra for Lyrians; access to coaching and therapy services.

• Equity in the company through discretionary restricted stock units.

• Competitive paid time off policies including vacation, sick days, and company holidays.

• Paid parental leave.

• 401K with up to 3% matching.

• Monthly technology allowance.

• Well-being perks and activities.

• Surprise swag.

• Regular community celebrations.