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.
Support multiple health plan partners from implementation through ongoing value delivery.
Serve as intermediary to fairly represent partner interests and needs to internal stakeholders.
Accountable for health plan satisfaction, renewals & expansion opportunities to new markets, states, and lines of business, contract adherence, contract P&L, contract utilization.
Equip is the leading virtual, evidence-based eating disorder treatment program, ensuring everyone with an eating disorder can access effective treatment. Founded in 2019, Equip has been a fully virtual company with a highly-engaged, passionate, and diverse culture.
Serve as primary relationship lead for assigned health plan partners
Own internal revenue and performance targets tied to your payer markets
Analyze operational and program data to identify risks and growth opportunities
Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support.
Assist with planning, directing, and implementing managed care objectives related to contract terms, reimbursement, negotiation, and key payer relationship management.
Negotiate various contract types across the organization's geographies and business lines with significant payer relationships.
Secure favorable reimbursement, protect the interests of associated entities in contract negotiations, and strengthen relationships with significant payers.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings.
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.
Develop and execute a comprehensive market access roadmap for Ceribell’s product portfolio.
Lead long-term strategy for new and existing reimbursement pathways.
Build and sustain relationships with Medicare Administrative Contractors (MACs), national and regional commercial payers, Medicaid plans, and integrated delivery networks (IDNs).
Ceribell is a medical technology company focused on transforming the diagnosis and management of patients with serious neurological conditions. The Ceribell System is being used in hundreds of community hospitals, large academic facilities and major IDN's across the country. Our entire team is driven by a shared commitment to transforming the landscape of critical care through our rapid seizure detection technology, come join the movement!
Manage a significant region of the US and generate payor leads.
Build and maintain relationships with key decision-makers in payors.
Develop strategic account plans that identify growth opportunities.
Evermore is a technology company that administers Smart Benefits to connect people to products and services they need, when they need them, so they can live healthier lives. Evermore is a Series B stage company, backed by leading investors.
Lead health plan partnerships across Medicaid and related lines of business.
Serve as the senior relationship owner for a portfolio of managed care health plan partners.
Identify performance risks early and lead cross-functional action plans to improve outcomes.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. Founded in 2021, the company is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Create and execute a robust sales strategy to penetrate the employer benefits market.
Establish and nurture trusted relationships with key stakeholders.
Utilize a consultative sales approach to identify client needs.
Calm is a leading consumer mental health company with a mission to support everyone on every step of their mental health journey. They are known for their flagship consumer app and have over 180 million downloads.
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.
Builds and executes a territory plan for regional health plans.
Prospects and qualifies using multichannel outreach to create a high-quality pipeline.
Leads complex sales cycles end-to-end, delivering accurate forecasts and maintaining metrics.
NASCO is focused on reshaping how health plans drive affordability. They are a nimble and collaborative commercial team that values entrepreneurial and data-driven sales professionals.
Develops value proposition resources and key messages aligned with Brand strategy.
Supports Payer Accounts team in strategic and tactical business planning for payers and hospitals.
Iovance is dedicated to developing and delivering novel cancer immunotherapies. They are an equal-opportunity employer committed to cultivating a diverse and inclusive work environment.