Source Job

• Develop and execute strategies to drive revenue growth and expand market presence with payers.
• Lead and mentor a small payer sales team to optimize performance and achieve revenue targets.
• Monitor industry trends and regulatory changes to identify opportunities and mitigate risks.

Cohere Health provides a clinical intelligence platform using AI to connect health plans and providers, improving care speed, cost, and quality. The company has been named to the Inc. 5000 list and is backed by leading investors.

• Develop and execute the Market Access Payer strategic plan and vision for national and regional markets to support product launch.
• Lead and inspire a team of national account directors to achieve Market Access objectives and establish payer formulary coverage.
• Collaborate with commercial leadership and executive management to refine payer access strategy and provide input on pricing, contracting, and customer partnerships.

Olema Oncology is a clinical-stage biopharmaceutical company committed to transforming the standard of care for patients with breast cancer. They are a growing, nimble team of self-starters dedicated to developing better therapies and building a positive company culture.

• Lead the execution of market access and reimbursement strategies for biologics and rare disease therapies.
• Develop and maintain executive-level relationships with national payer stakeholders to negotiate high-impact agreements.
• Provide strategic insights on payer trends and competitive dynamics to shape commercial strategy.

Dr. Reddy's is a global pharmaceutical company dedicated to making medicines affordable and discovering innovative treatments to help people lead longer, healthier lives. The company fosters a culture of empathy, dynamism, and inclusion, valuing diverse perspectives and teamwork.

• Develop and execute strategic partnership plans for health plans, designing novel solutions from first principles and building analytical cases.
• Lead commercial structuring including rate design, exclusivity, and volume commitments through direct executive negotiations.
• Own the partnership post-launch, tracking performance and iterating on structure to drive results.

Grow Therapy is a three-sided marketplace that empowers therapists to grow their practice and patients to access high-quality mental healthcare. Backed by over $328M in funding and a $3B valuation, the company has supported thousands of therapists and hundreds of thousands of clients across the United States.

• Own and advance strategic relationships with health plan partners to deepen existing partnerships and pursue new payer contracts.
• Identify and negotiate improvements to payer arrangements including credentialing, reimbursement, and network terms to scale insurance offerings.
• Develop new strategic models with health plans beyond traditional network participation to increase access and value for members.

BetterHelp is the world's largest online therapy service, dedicated to making mental health care accessible. Founded in 2013, the company has over 30,000 licensed therapists and fosters a supportive culture focused on employee well-being.

• Define and own product strategy for payer solutions, translating customer needs into actionable roadmaps.
• Conduct market analysis and competitive research to identify opportunities.
• Develop product positioning, pricing, and go-to-market plans.

The company specializes in healthcare data analytics and intelligence solutions for payer organizations. It offers a flexible, remote-first culture with a focus on professional development and innovation.

• Lead the strategy to secure national payor agreements, moving from state-by-state enrollment to national in-network contracts with major commercial payors.
• Manage a Credentialing Specialist, setting SLAs and KPIs for credentialing turnaround time, while overseeing payor enrollment and claim denial resolution.
• Partner with Clinical Ops and Revenue Cycle to align provider onboarding with credentialing lead times and national agreement rollouts.

Happy Health is revolutionizing sleep medicine delivery through a comprehensive telehealth platform that eliminates traditional barriers to sleep care. The company is a fast-moving, low-ego team that values ownership and problem-solving over process, operating remotely with a physical office in Austin, TX.

• Lead strategic relationships with key oncology organizations, GPOs, and support networks to improve product access and patient outcomes.
• Develop and execute national account strategies for oncology products, including contract negotiations and cross-functional collaboration.
• Serve as a subject matter expert on oncology access, reimbursement, and contracting while representing the organization at industry events.

The company is a pharmaceutical or healthcare organization focused on oncology products and market access. They emphasize employee development, mobility, and career advancement, with a culture of meaningful work.

• Lead high-priority commercial initiatives and drive cross-functional execution across teams.
• Manage strategic partnerships and deliver business insights to inform commercial decisions.
• Serve as a trusted operator to strengthen program execution and operational effectiveness.

Counterpart Health develops an AI-powered primary care tool, Counterpart Assistant, to improve patient outcomes and support physicians in value-based care. They are a remote-first subsidiary of Clover Health with a collaborative and innovative culture.

• Lead value analysis initiatives to improve healthcare operations and cost-effectiveness.
• Analyze contracts, costs, and product specifications to drive standardization and savings.
• Manage cross-functional projects and facilitate value analysis committees.

A healthcare operations partner focused on value analysis and supply chain optimization. They offer a fully remote work environment and a comprehensive benefits package.

• Establish and maintain strategic relationships with key oncology accounts to enable optimal market access.
• Lead cross-functional collaboration across Commercial, Medical Affairs, Legal, and Marketing for product adoption.
• Negotiate contracts and analyze market dynamics to inform access and commercial strategy.

Summit Therapeutics Inc. is a biopharmaceutical oncology company focused on improving quality of life and resolving unmet medical needs. Our team is inspired to change lives through global Phase 3 clinical studies, and we value integrity, passion, and collaboration.

• Lead the design, development, and lifecycle management of analytical and automation products for payer health plans.
• Translate market needs and customer insights into product capabilities that improve health plan performance and cost management.
• Partner cross-functionally with Engineering, Data Science, and Sales to drive product strategy and commercial success.

MedeAnalytics is an enterprise healthcare performance company that delivers AI-driven cloud solutions to payers and providers. With over 30 years of industry experience, the company fosters a culture of innovation and impact.

• Lead strategic health system partnerships to drive adoption and expansion of cancer early-detection solutions.
• Build executive-level relationships with CEOs, CMOs, and healthcare leaders to develop high-value partnerships.
• Own contracting, negotiation, and cross-functional account planning to deliver measurable outcomes.

The company develops innovative cancer early-detection solutions. It is a remote-first organization with a collaborative culture focused on expanding patient access through strategic health system partnerships.

• Lead market access strategy across marketed and pipeline products, ensuring alignment with corporate objectives and optimal patient access.
• Manage Gross-to-Net strategy, government pricing, and contracting activities while ensuring compliance with federal and state regulations.
• Partner with Sales, Marketing, and Commercial Operations to advance brand objectives and drive coordinated commercial execution.

ARS Pharmaceuticals is a fast-growing, innovative company dedicated to transforming the treatment of severe allergic reactions with neffy, the first and only FDA-approved needle-free epinephrine product. They foster a collaborative, entrepreneurial, and inclusive culture.

• Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
• Lead strategic program delivery, coordinating implementation plans, timelines, and stakeholder commitments.
• Evaluate program performance, translate findings into actionable recommendations, and advise executives.

The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.

• Build and maintain strategic relationships with top-tier national oncology practices and Group Purchasing Organizations (GPOs) to align with PatientPoint's vision.
• Identify and expand business opportunities through consultative sales and execute long-term marketing strategies with key stakeholders.
• Provide ongoing account management, monitor service quality, and communicate results internally and externally to drive success.

PatientPoint is a digital health company that transforms the healthcare experience by delivering behavior-changing content at critical moments of care. It is the nation's largest digital network in 30,000 physician offices, with a purpose-driven culture focused on improving health outcomes.

• Lead managers and supervisors responsible for member enrollment and billing operations.
• Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
• Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.

Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.

• Drive end-to-end enterprise sales cycles with regional health plans and Medicare Advantage organizations.
• Lead executive-level conversations with CMOs, VP Care Management, and CFOs, translating population health financial exposure into a quantified AI value proposition.
• Navigate complex multi-stakeholder procurement processes and manage phased deployments with prospective clients.

Quadrivia is the health technology company behind Q, a comprehensive AI assistant built by clinicians for clinicians. They are a growing company focused on providing an agentic AI platform for healthcare payers and managed care organizations.

• Manage a portfolio of 10 medium and large accounts, designing strategic implementation frameworks and advising leadership on product integration.
• Lead customer engagements including monthly and quarterly business reviews and workshops to demonstrate value and establish objectives.
• Consult with provider leadership to re-engineer clinical and administrative workflows, aligning technology adoption with value-based care goals.

Pearl Health empowers primary care providers and networks to succeed in value-based care with technology and financial tools. Founded in 2020 and backed by top investors, the company partners with thousands of providers across 44 states.

• Manage day-to-day payer implementation projects with timelines and open items across teams.
• Prepare polished payer-facing materials including project plans and decision logs.
• Coordinate with Clinical, Operations, Finance, and Legal to resolve issues and support post-launch account management.

Chamber Cardio rebuilds the cardiology system around outcomes by equipping independent cardiologists with technology and operational tools. The company partners with physicians to lead population health efforts, combining AI tools with human-centered care to transform heart health at scale.