Senior Director, Payer Strategy & Operations
B
Boulder CareHealthcare
United StatesFull-TimeDirector
Salary200000 - 240000 USD per year
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Job Details
- Experience
- 8+ years
- Required Skills
- Business IntelligenceSalesforce
Requirements
- 8+ years of progressive leadership in management consulting, healthcare strategy, or payer finance
- Experience in the mechanics of Value-Based Care (VBC)
- Familiarity with Medicaid managed care organizations
- Familiarity with state-level healthcare dynamics
- Familiarity with businesses shaped by public policy / regulatory factors
- Ability to synthesize complex clinical and financial datasets into a cohesive, persuasive commercial narrative
- Sophisticated understanding of CRM (Salesforce) data structures
- Sophisticated understanding of business intelligence tools
Responsibilities
- Act as the primary architect for Boulder’s value-based contracting frameworks, picking up and evolving existing work on Total Cost of Care and upside/downside risk modeling.
- Conduct financial modeling and clinical insight harvesting to evaluate complex payer contracts.
- Translate internal performance data into commercial opportunities.
- Transform raw research and complex data sets into high-impact narratives that resonate with payer executives.
- Develop, maintain, and iterate on all commercial materials, including pitch decks, Quarterly Business Reviews (QBRs), and RFP responses.
- Enable the sales team with the positioning and evidence needed to close sophisticated value-based contracts.
- Own the commercial tech stack (Salesforce and connected tools) and train internal team members to deliver accurate, actionable insights for pipeline management and renewals.
- Establish and maintain the definitive "source of truth" systems for revenue, retention, and partner performance.
- Lead reporting for the Commercial team, Senior Leadership Team (SLT), and the Board to drive data-backed decision-making and execution.
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