Sr. Strategic Program Manager
New
C
CarrotHealthcare
United States (Remote)Full-TimeSenior
Salary145,000 - 160,000 USD per year
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Job Details
- Experience
- 5+ years
- Required Skills
- Project ManagementStakeholder managementData analytics
Requirements
- Bachelor’s degree.
- 5+ years of experience in healthcare strategy, payer operations, reimbursement, pharmacy, provider contracting, healthcare analytics, or consulting.
- Experience working with health plans, employer-sponsored benefits, provider reimbursement, pharmacy benefit programs, or healthcare payment models.
- Strong analytical and strategic problem-solving skills with the ability to translate complex healthcare topics into actionable business recommendations.
- Experience leading complex cross-functional initiatives involving multiple stakeholders.
- Excellent communication, stakeholder management, and project management skills.
- Ability to balance strategic thinking with hands-on execution in a fast-paced environment.
- Collaborative mindset with a passion for improving healthcare through innovative solutions.
Responsibilities
- Lead the operational strategy and day-to-day management of Carrot Rx, including strategic pharmacy partnerships, reimbursement strategy, pricing updates, benefit design, and program governance.
- Develop and support Carrot's claims-based billing strategy, partnering across Product, Engineering, Finance, Provider Partnerships, and Commercial to build scalable reimbursement capabilities.
- Manage relationships with pharmaceutical manufacturers, specialty pharmacies, PBMs, provider organizations, and health plans to strengthen Carrot's reimbursement ecosystem.
- Develop financial models, business cases, dashboards, and operational reporting that support reimbursement strategy, pricing decisions, commercial opportunities, and executive decision making.
- Lead cross-functional initiatives from concept through implementation while aligning stakeholders across Product, Clinical Operations, Finance, Engineering, Provider Partnerships, Business Intelligence, Customer Success, and Commercial.
- Analyze reimbursement, utilization, provider, pharmacy, and health plan performance to identify opportunities for cost optimization, network improvements, and operational efficiencies.
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