Lead the development, optimization, and performance of Clover’s dental provider network.
Build Clover’s dental network strategy from the ground up across markets.
Build, scale, and lead a high-impact dental network team spanning contracting, analytics, and provider relationship management.
Clover Health is committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. The company prioritizes preventive care while leveraging data and technology; they are passionate and mission-driven individuals with diverse areas of expertise.
Serves as principal lead on a defined number of providers for negotiation, strategy, and market intelligence.
Assist in the establishment of contract-related criteria and contracting guidelines to optimize financial performance and minimize Plan risk.
Responsible for understanding provider partners’ service needs and incorporating contract solutions to support providers and Capital Blue Cross in reaching shared goals.
Capital Blue Cross aims to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” due to their supportive colleagues and focus on professional and personal growth.
Develop the provider network through contract negotiations, relationship development, industry analysis and servicing.
Analyze, review, and project financial impacts of network contract arrangements.
Implement reimbursement strategies designed to control healthcare costs.
Blue Cross of Idaho is an Idaho-based health insurance company that has been around since 1945. As a not-for-profit, they are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services with the help of customer-centric professionals.
Manage key relationships and ensure efficient revenue cycle operations.
Drive strategic initiatives to streamline interactions with payors.
Maximize revenue and foster a culture of excellence, enhancing patient experiences.
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Lead the Market Access Contracting team, providing development, direction, and oversight on a daily basis.
Review, approve, and sign Market Access Contracts; ensure department is SOX compliant and serve as contracting lead for periodic internal and external audits.
Lead the Pricing Governance Process for assigned Accounts and Segments, coordinating across the cross functional partners in Market Access, Legal, MMF, Finance, and Trade Ops.
Novartis focuses on the needs of people and a community committed to meeting them to improve the lives of people living with disease. It is a team working, learning and thriving together.
Manage contracts and legal documents, including drafting and negotiating agreements.
Identify and escalate key contract terms to manage and mitigate risks.
Track contracts to execution, identifying stakeholders and hosting meetings.
Definium Therapeutics, formerly known as Mind Medicine, is a clinical stage biopharmaceutical company developing novel product candidates to treat brain health disorders. Founded in 2019, they are continuously expanding their presence and global footprint and are constantly searching for high-impact individuals in various clinical, technical and business operations domains to strengthen their team.
Own critical components of the provider lifecycle, driving readiness to see members on the platform and scalable growth.
Identify bottlenecks and implement improvements that accelerate time-to-platform and strengthen provider engagement.
Improve systems and workflows through automation and process design, reducing manual work and operational risk.
Maven is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. With over 2,000 employers and health plans as clients, Maven provides comprehensive support spanning fertility, maternity, parenting, and menopause. He fosters an award-winning culture.
Own end-to-end contract lifecycle for extensive contract portfolio.
Partner directly with practices to ensure successful contract onboarding and ongoing compliance.
Act as the SME of the Explorer market with all relevant groups such as Payer Networks, SPP, Withdrawal, Legal, and Growth teams.
Aledade, a public benefit corporation, empowers independent primary care. Founded in 2014, they've become the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care with a collaborative, inclusive, and remote-first culture.
Own market growth strategy across priority Medicaid markets.
Lead the evolution of our value proposition for legacy health plan partners and new prospects.
Serve as a strategic bridge between Payor Partnerships and internal teams.
Equip is the leading virtual, evidence-based eating disorder treatment program. They ensure that everyone with an eating disorder can access treatment that works, leveraging evidence-based treatments to empower individuals to reach lasting recovery. Founded in 2019, they're a fully virtual company.
Responsible for team’s book of business and understanding growth opportunities.
Provides strategic leadership to team of Account Executives.
Champions strong client relationships and develops market-driven strategies.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They are determined to make HealthEquity the #1 brand in the marketplace and value their employees.
Own market operational performance against organizational and contractual outcomes, ensuring initiatives drive measurable clinical and financial results
Lead operation partnerships with customers in the market, aligning on market strategy, contractual goals, and performance targets across cost, quality, and member experience.
Partner with the clinical leadership to align care model execution with operational strategy, ensuring seamless member experience and optimized performance outcomes
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. Through our leading-edge care model, Tuesday Health is shaping the future of community-based palliative care nationwide.
Own our payer contracting strategy, aligning business interests with legal terms and regulations
Build for scale and implement systems to land high-value payer contracts efficiently
Review and negotiate the terms of Headway’s health plan agreements
Headway's mission is to build a new mental healthcare system everyone can access. They have grown into a diverse, national network of over 60,000 mental healthcare providers across all 50 states and have served over 1 million patients.
Lead the strategy and execution of Transcarent’s Trusted Partner Ecosystem.
Identify, source, negotiate, and manage vendor and partner relationships that expand Transcarent’s capabilities.
Drive measurable outcomes and contribute meaningfully to revenue growth.
Transcarent is a health and care platform that brings medical, pharmacy, and point solutions together. They serve over 1,700 employers and health plans, providing information, guidance, and care to 21 million members.
Partner with cross functional leaders to ensure internal processes and care delivery are in accordance with health plan needs across commercial and Medicaid lines of business
Translate health plan contracts, provider manuals, and regulatory requirements into scalable operational workflows
Serve as the internal subject-matter expert on credentialing and payor operational requirements
Equip is a virtual, evidence-based eating disorder treatment program. They aim to provide accessible and effective treatment. Founded in 2019, Equip has been a fully virtual company and has a highly-engaged, passionate, and diverse culture.