Source Job

• Communicating with providers regarding claims, service issues and general network provider complaints.
• Developing an adequate provider network in assigned geographical areas (currently Texas metroplex areas).
• Building and maintaining relationships with contracted providers, including inquiries related to contract status, roster corrections and information accuracy.

Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.

• Negotiate MA & Medicaid value-based care contracts with prospective payer partners.
• Collaborate with Senior Leadership to qualify and source market growth and expansion for multi-year risk arrangements.
• Build and manage relationships with payers and other key stakeholders to resolve issues and optimize performance.

Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country, operating with a collaborative, inclusive, and remote-first culture.

• You will own payer contracting strategy, aligning business interests with legal terms and regulations.
• You will build for scale and implement systems to land high-value payer contracts efficiently.
• You will review and negotiate the terms of Headway’s health plan agreements.

Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. It is a Series D company with $325M+ in funding with over 75,000 providers across all 50 states that run their practice on their software, serving over 1 million patients.

• Lead outbound business development efforts to identify, research, and engage prospective partners.
• Develop and execute go-to-market strategies for net-new partner categories.
• Build and manage a robust pipeline across multiple verticals simultaneously, advancing opportunities.

BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, committed to being part of the solution, and invest in their team’s well-being and professional development.

• Oversee the Commercial segment within the Strategic Payer Partnerships team ensuring performance goals and objectives are met.
• Collaborate with Executive Leadership to shape Aledade's strategy for value-based contracting on behalf of independent primary care practices.
• Lead, direct, and evaluate a team of senior leaders ranging from Manager to Sr. Director.

Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Lead and manage a team of Regional Directors, providing coaching and performance feedback.
• Oversee the delivery of consulting services to specialty provider practices.
• Develop and implement strategies to support the needs of specialty customers.

The company is looking for a Lead Director, Managed Care. They value creating an inclusive culture by empowering employees to bring their unique and diverse selves to work.

• Own & Manage Provider Relationships : Serve as the primary point of contact for provider primary care partners.
• Support Provider Recruitment Activities as Product SME : Partner with CA GTM team to execute a provider onboarding and training best practices.
• Optimize Provider Success & Retention : Implement and oversee a structured engagement plan to ensure providers maximize their use of our platform.

Counterpart Health is transforming healthcare with its AI-enabled primary care tool, Counterpart Assistant, that supports early diagnosis and management of chronic conditions. They drive value-based care at the speed of software with a team of value-based care and technology experts.

• Build partnerships with independent primary care practices and federally qualified health centers (FQHCs).
• Lead consultative discussions and close provider participation agreements for value-based care programs.
• Guide practices through onboarding and collaborate with clinical teams to ensure their success.

Florence Health is a technology-driven healthcare company that transforms primary care through value-based care partnerships with independent practices. It is an entrepreneurial organization that achieved over 15% cost savings for providers on its Nightingale platform in 2024 and 2025.

• Serve as the senior leader and strategic business partner for some of Alma’s largest health plan partnerships.
• Develop collaborative working relationships with external health plan executives to identify and capitalize on high-impact growth opportunities.
• Spearhead the development and execution of strategic plans to exceed growth and retention targets for each health plan partnership.

Alma's mission is to simplify access to high-quality, affordable mental health care by making it easy for therapists to accept insurance. They operate in all 50 states, with over 20,000 therapists in their growing network and have raised $220.5M in funding.

• Conduct research to expand prospect list and identify leads.
• Perform thorough needs assessment and identify prospects' pain points.
• Own and drive proposal planning, development, delivery, and contract process.

Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health. They are growing fast and have emerged as a market leader in the highly competitive population health management software market.