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.
Oversee daily program operations and lead a diverse team.
Ensure smooth workflows and foster collaboration among teams.
Facilitate effective program execution and client engagement to impact healthcare solutions.
They connect job seekers with companies using an AI-powered matching process. Jobgether ensures applications are reviewed quickly, objectively, and fairly; company size and culture are not mentioned in the job description.
Partner cross-functionally to unlock impact by maximizing the value of rewards programs and using data to turn incentives into measurable outcomes.
Shape smarter incentives by analyzing and refining the rewards structure to better drive high-value behaviors and member engagement.
Improve the member experience end-to-end by identifying friction and designing solutions across digital experiences and operational touchpoints.
Clover Health reinvents health insurance using data and human empathy. They empower their clinical staff to intervene and provide personalized care, putting members first and valuing diversity and inclusion, with employees who are passionate and mission-driven.
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.
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.
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.
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.
Serve as the national point of contact for key brokerage and consulting partners.
Drive growth by generating qualified opportunities through consultant partners
Build and deepen relationships across the brokerage and consulting ecosystem
Modern Health is a mental health benefits platform for employers, offering access to resources for emotional, professional, social, financial, and physical well-being. They are a fully remote workforce known for their "It Takes a Village" culture centered around empathy and accountability.
Build and sustain relationships with key clients grounded in an understanding of their business goals.
Develop proficiency in the client's market, trends, influencers, competitors, and key stakeholders.
Demonstrate an eye for opportunities, catching potential growth opportunities and partnering with account leadership to grow revenue within assigned accounts.
Avalere Health ensures every patient is identified, treated, supported, and cared for. Their Advisory, Medical, and Marketing teams forge unconventional connections, building a future where healthcare is not a barrier and no patient is left behind.
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.
Independently lead day-to-day operations of assigned patient access and affordability programs.
Ensure that all program operations are running smoothly and in accordance with program business rules and all safety, legal and regulatory requirements.
Lead execution of affordability strategies in alignment with brand strategic imperatives and financial goals
Azurity Pharmaceuticals focuses on innovative products for underserved patients. They are a privately held, specialty pharmaceutical company that delivers accessible, high-quality medications, and has a broad commercial product portfolio and robust late-stage pipeline.
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.
Develop and execute strategic consultant relationship management initiatives.
Collaborate with internal and external partners on consultant partner strategies.
Present Omada’s solutions compellingly in various industry contexts.
Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. With more than a decade of experience and data, and 29 peer-reviewed publications, Omada’s approach is designed to improve health outcomes and contain costs.
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.
Responsible for establishing an infrastructure to support negotiations, implementation and oversight with all contracted vendors.
Develop metrics reporting from all vendors and have strong analytical skills to evaluate effectiveness of programs.
Serve as liaison between vendors and claims staff; audit, measure, report and evaluate all vendor’s performance.
Crum & Forster (C&F) provides specialty and standard commercial lines insurance products. They have over 2000 employees and are known for their employee-first focus and commitment to diversity, equity, and inclusion.
Independently manage the day-to-day administration of benefit plans, including medical, dental, vision, and 401(k), ensuring data integrity across all systems.
Partner with our leave administrator, Unum, to manage end-to-end LOA processes, including FMLA, state leaves, ADA accommodations, and company leave programs; ensure compliance, accurate tracking, and a seamless employee experience.
Resolve routine benefit issues for employees with empathy and urgency, elevating the consumer experience for our own team members.
Hims & Hers is a health and wellness platform committed to helping individuals feel their best through improved health. They focus on customer-centric, affordable, and personalized care, and is a public company traded on the NYSE under the ticker symbol “HIMS”.
Serve as the primary interface to Government Program Office.
Provide strategic leadership and day-to-day management of nationwide contract operations.
Develop and implement corrective action plans to address performance issues.
LTS Health Group delivers technology-enabled occupational health and workforce health services that support regulatory compliance, workforce readiness, and mission-critical operations for federal, commercial, and public health organizations. By combining clinical expertise, provider network management, and modernized operational platforms, LTS supports complex, geographically distributed health programs across the United States.
Developing and calibrating homeowners program for established and new states.
Assisting with rate filings and DOI correspondence for regulatory approval.
Analyzing key performance indicators and drivers of profitability.
Openly is rebuilding insurance from the ground up, re-envisioning and enhancing every aspect of the customer experience. They value collaboration, communication, and work-life balance and look for candidates that display integrity, empathy, teamwork, curiosity, and urgency.
Develop and implement programs that benefit clients.
Manage pharmacy service provider relationships.
EPIC is a company with over 60 offices and 3,000 employees nationwide which embraces diversity in all its various forms. They foster a work community where every colleague feels welcomed, valued, respected and heard, believing that diversity drives innovation.
Support administration and maintenance of compensation programs including salary structures, merit cycles, and incentive plans.
Manage team member benefit programs including but not limited to health, dental, vision, life, retirement plans and wellness initiatives ensuring compliance across statutory regulations.
Develop thoughtful, compliant leave management processes that support a scaling global organization.
Owner is the AI growth system for local restaurants. They help independent restaurants succeed online. Their team is in the low hundreds and they have top talent from the most successful companies in SMB software.