Maintain and deepen senior-level relationships across national and regional payers.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
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.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Own full P&L responsibility, including forecasting, budgeting, and performance reporting.
Build and develop a high-performing, mission-driven team.
Propel builds technology that strengthens the social safety net in America. They aim to improve how government benefits are delivered and have grown revenue 35% YoY, serving over 5.5 million Americans.
Identify, develop, and close new business opportunities with national and regional health plans.
Own the full sales process from initial outreach through deal structuring, contracting, and launch.
Build strong, trusted relationships with senior and executive stakeholders across the payer landscape.
Covera Health is committed to ensuring high-quality healthcare. They are leading the way in the emerging science of quality, connecting providers and payers to improve patient outcomes and care quality, partnering with leading employers, payers and healthcare organizations across the US, including Walmart and Microsoft.
Meet access goals and ensure medical coverage pathways are consistent with FDA approved prescribing information
Consistently engage National and Regional commercial payers, FFS and Managed Medicaid plans, and Federal payers to positively influence decision makers in areas of clinical criteria and medical policy
Work cross-functionally within the POD team structure to ensure alignment across Genetix’s stakeholders and that QTCs receive surround sound support at every step in the patient journey
Genetix Biotherapeutics is pursuing curative gene therapies to give patients and their families more days. They are doers, thinkers and collaborators who embrace cooperation and the integration of multiple viewpoints and value radical care.
Develop and execute a regional ISNP growth strategy centered on skilled nursing and post-acute partnerships.
Build and strengthen relationships with SNF operators, post-acute leaders, and senior living executives.
Manage the full business development cycle: prospecting, outreach, solution presentations, negotiations, and contract execution.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults by providing solutions like on-site primary care and Medicare Advantage Plans. Founded in 2021, they serve 200,000+ seniors in 1,500+ communities across 32 states with a team of more than 1,000 clinicians and professionals.
Lead the development of rigorous economic analyses to quantify the impact of Twin’s model on healthcare costs, utilization, and outcomes.
Participate in payer and employer discussions to explain and defend Twin’s methodology for calculating PMPM savings, cost offsets, and ROI.
Lead the development of economic and outcomes analyses that strengthen the evidence base supporting Twin’s clinical and financial impact.
Twin Health empowers people to improve and prevent chronic metabolic diseases with a new standard of care using AI Digital Twin technology. With recent funding, Twin is scaling rapidly across the U.S. and globally, building a passionate, talented team united by a shared purpose.
Be accountable for long term strategy, relationships, and growth of a dedicated book of key health plan partners.
Lead, mentor, and advocate for a team of Payor Partnership Managers, ensuring they have the tools, training, and strategic guidance to exceed their individual goals.
Own contract strategy & renewals to optimize partnership structure and success.
Equip is a virtual, evidence-based eating disorder treatment program focused on ensuring access to effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.
Spearhead strategy, operations, and contracting for VIVIO’s Medical Specialty Drug Carve-Out.
Proactively identifying, fostering, and overseeing partnerships, optimizing mutual value.
Collaborate across various functional areas of the partnerships as well as within VIVIO.
VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured employers and health plans.
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.
Own and maintain a centralized payer rulebook across all health plans.
Interpret payer requirements and translate them into clear operational workflows.
Own performance outcomes at the health plan level (KPIs, compliance, documentation).
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care and are scaling rapidly across states and populations.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.