Prepare, submit, and track payer applications for new health plan partnerships, including follow-up, deficiency resolution, and revalidations.
Audit provider directory listings and reconcile rosters against payer records to ensure members can actually find and access care.
Partner with Revenue Cycle to triage denials, research payer policy, and codify requirements into durable internal references.
Allara is a comprehensive women's health provider offering expert, longitudinal care for hormonal, metabolic, and reproductive health. Trusted by thousands of women and one of the fastest-growing women's health platforms in the U.S., it fosters a collaborative, mission-driven culture focused on improving patient care.
Lead strategic growth and operational management of pharmacy benefit and managed care relationships nationwide.
Oversee contract evaluation, negotiation, implementation, and renewal with major healthcare payers.
Analyze reimbursement trends and contract performance to support revenue optimization and business growth.
This company operates in the specialty pharmacy sector, supporting patients with chronic and rare illnesses. It is a mission-driven, rapidly growing environment focused on improving access, care, and outcomes for patients with complex healthcare needs.
Review and interpret payor contracts, amendments, and policies to document key terms and escalate ambiguous language before it becomes downstream billing issues.
Build and operationalize a contract repository and AI payor intelligence tooling, organizing documentation and validating search accuracy.
Partner with cross-functional teams to resolve flagged risks, close information gaps, and surface process improvements for a growing contract portfolio.
Grow Therapy is a mental health platform that connects providers, insurers, and patients to make care more accessible. Backed by over $328M in funding, the company fosters a culture of ownership and impact where everyone drives meaningful work.
Manage and negotiate contracts with healthcare providers to build and maintain a robust network.
Utilize data and analytics to inform negotiation decisions and optimize costs.
Oversee team performance and collaborate with provider services to ensure best-in-class member care.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Own and advance a pipeline of payer opportunities, driving engagements from early conversations to concrete coverage and access outcomes.
Build and expand relationships with assigned payer accounts, leading meetings and negotiating pilots, data evaluations, and agreements.
Navigate complex payer organizations, partner cross-functionally, and deliver compelling materials emphasizing clinical and economic value.
GRAIL is a healthcare company pioneering early cancer detection technologies using next-generation sequencing and data science. It is a multi-disciplinary organization of scientists, engineers, and physicians, supported by leading global investors and headquartered in the Bay Area with locations in Washington, D.C., North Carolina, and the United Kingdom.
Support the execution of local network strategy and provider outreach to drive membership growth.
Meet defined metrics and SLAs including provider outreach and contract completion.
Support contract negotiations and document provider feedback to improve processes.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company started in 2012 to create a health insurance experience that behaves like a doctor in the family.
Serve as single-point-of-contact for Authorized Treatment Centers and develop payer strategies to secure favorable coverage and reimbursement.
Present scientific and economic data to support product value proposition, leveraging cross-functional teams including Medical Affairs and Legal.
Track KPIs, ensure dashboard accuracy, and maintain partnerships with targeted Academic Hospitals and Health Systems.
Orca Bio is a commercial-stage biotechnology company redefining the transplant process by developing next-generation cell therapies. With a start-up culture of camaraderie and leadership by example, the company is driven by passion and compassion for patients.
Build and sustain relationships with health plan executives to drive mutual success in value-based care.
Lead partnership governance structures, presenting Aledade's value proposition and aligning on shared strategic goals.
Direct a high-performing team, translating organizational goals into actionable targets and optimizing resource allocation.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
Monitor and manage post payment queues, conducting outreach and negotiation calls to providers.
Communicate with providers to verify understanding of NSA claims payments and regulations.
Maintain HIPAA compliance and document all conversations, payment rates, and counter offers.
Reliant Health Partners is an innovative medical claims repricing service provider that helps employers achieve maximum health plan savings. The company tailors services to each client’s needs and values a diverse, inclusive workplace.
Supports the review of contract proposals, language and rate sheets to ensure accuracy and compliance with standards.
Assists leadership with project plans, meeting minutes, and action items related to national payer renewals.
Coordinates with team members to ensure contract documents are signed and stored according to policies.
Dignity Health, part of CommonSpirit Health, is a nonprofit Catholic healthcare organization providing integrated health services. It has over 157,000 employees and 45,000 nurses, delivering more than 20 million patient encounters annually.
Recruit, contract, and maintain a Medicare-compliant provider network of physicians and ancillary healthcare providers within assigned geographies.
Clearly communicate contract terms, payment structures, and reimbursement rates to prospective and existing network providers.
Align contracting activities with departmental strategy and build long-term relationships with provider partners.
Curana Health is a national leader in value-based care, providing senior living communities and skilled nursing facilities with solutions like on-site primary care, Accountable Care Organizations, and Medicare Advantage Special Needs Plans. Founded in 2021, the company serves over 200,000 seniors in 1,500+ communities across 32 states, with a team of more than 1,000 clinicians and professionals, and was ranked #147 on the Inc. 5000 list of America's fastest-growing private companies.
Drive growth by seeking new client partnerships with health plans nationwide, focusing on Medicare Advantage.
Build and manage the entire business development pipeline, establishing relationships with executive stakeholders.
Collaborate across sales, product, clinical, and account management teams to support sales pursuits.
Vida is a healthcare company focused on providing high-quality, cost-effective healthcare outcomes at scale. It operates in a high-growth startup environment with a mission-driven culture.
Lead a key strategic relationship with a large health system or payer, driving growth and operational rigor.
Apply sales principles and stakeholder management to navigate complex healthcare landscapes.
Champion partner needs while integrating standard methodologies and balancing growth goals.
Rula is a mental health care company dedicated to making quality care evidence-based and compassionate. They are a remote-first company with a diverse and inclusive culture, currently hiring in most U.S. states.
Serve as a strategic advisor to enterprise healthcare customers, building relationships with C-suite executives and driving outcomes, adoption, and growth.
Develop and execute account plans, lead executive business reviews, and identify improvement opportunities through data analysis.
Collaborate with internal teams and facilitate stakeholder collaboration to advance care coordination and network performance.
PointClickCare is a leading healthcare technology company that provides software solutions for care coordination across acute, post-acute, and payer settings. With a focus on value-based care, the company serves a large enterprise client base and fosters a culture of innovation and customer partnership.
Drive carrier engagement and optimize partnerships to maximize growth and profitability.
Develop platform-specific strategies and consolidate carrier relationships for operational efficiency.
Serve as key liaison for carrier issues and lead negotiations for fair compensation.
Trucordia is an insurance brokerage delivering exceptional experiences for employees, clients, and stakeholders. The company has over 5,000 team members across 200 offices and fosters a culture of care, collaboration, and celebration.
Own the strategy and performance of a complex portfolio of primary care partnerships, driving adoption, retention, and measurable performance improvement.
Build trusted relationships with clinical and operational leaders, serving as a strategic advisor on value-based care and workflow transformation.
Analyze data, lead performance reviews, and implement interventions to ensure sustained provider success and expansion.
Counterpart Health, a subsidiary of Clover Health, develops AI-enabled technology that supports primary care physicians in diagnosing and managing chronic conditions. They are a remote-first company with a diverse team of experts in value-based care and technology, dedicated to improving patient outcomes and reducing healthcare costs.
Lead strategic partnership initiatives and manage a portfolio of high-value health plans and PBMs.
Develop and execute sales and marketing strategies to generate new business pipelines and revenue.
Build strong executive relationships and represent Vida at industry conferences.
Vida is a virtual, personalized obesity care provider using evidence-based treatment to help patients manage obesity and related conditions. It is a high-growth startup trusted by Fortune 100 companies, with a collaborative, mission-driven culture.
Drive end-to-end strategy for payer vertical initiatives, ensuring product investments deliver measurable business outcomes.
Partner with Business Development and payer stakeholders to translate needs into clear product requirements and prioritized roadmap.
Lead discovery, validation, and cross-functional execution with Engineering, Design, Operations, and Client Success to deliver milestones.
Octave is a modern behavioral health practice offering evidence-based individual, couples, and family therapy through in-person and virtual clinics, while pioneering payer partnerships to make care affordable. As a fast-growing, mission-driven company, Octave values empathy, partnership, and quality at scale, and is committed to expanding access to high-quality mental health care.
Act as market access 'quarterback' for the region, setting strategy and aligning goals.
Develop local access strategies and influence maps for key payer and provider customers.
Manage contracts, collaborate cross-functionally, and drive performance metrics.
AbbVie is a global biopharmaceutical company that discovers and delivers innovative medicines and solutions across immunology, oncology, neuroscience, and aesthetics. It is a large, established organization with a culture focused on integrity, innovation, and transforming lives.