Senior Director, Payer Strategy and Operations
United StatesFull-TimeDirector
Salary not disclosed
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Job Details
- Experience
- 8+ years
- Required Skills
- Business IntelligenceData AnalysisSalesforce
Requirements
- 8+ years of experience in healthcare strategy, management consulting, payer partnerships, or value-based care environments.
- Deep understanding of value-based care models, including total cost of care, risk-sharing, and Medicaid managed care dynamics.
- Experience working with or supporting payer organizations, including Medicaid managed care organizations and/or commercial health plans.
- Strong ability to translate complex clinical, operational, and financial data into clear commercial insights and narratives.
- Experience supporting or working with CRM systems (e.g., Salesforce) and business intelligence tools for performance tracking and reporting.
- Strong executive communication skills with experience presenting to senior stakeholders and external partners.
- Demonstrated ability to operate at the intersection of strategy, analytics, and commercial execution.
- Experience in healthcare, digital health, or regulated environments strongly preferred.
- Bachelor’s degree in Business, Healthcare, Economics, or related field (advanced degree preferred).
Responsibilities
- Lead payer strategy development and execution, translating clinical outcomes, product capabilities, and market insights into scalable partnership opportunities.
- Design and evolve value-based care (VBC) strategies, including total cost of care models, risk-sharing structures, and pricing frameworks.
- Partner with Finance to evaluate contract economics, ensuring alignment between payer agreements, reimbursement structures, and organizational performance goals.
- Develop compelling market narratives and storytelling frameworks that communicate value to payer executives and health plan stakeholders.
- Own and enhance commercial enablement materials, including pitch decks, RFP responses, QBR content, and executive presentations.
- Collaborate with Product, Clinical, and Operations teams to translate capabilities into payer-facing positioning, demos, and solution messaging.
- Support complex deal structuring and strategic negotiations for high-value payer partnerships.
- Build and maintain operational rigor across commercial systems, ensuring accurate pipeline tracking, reporting, and performance visibility.
- Deliver insights and reporting to executive leadership, supporting data-driven decision-making across payer growth and strategy.
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