Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Director, Payer Solutions

$211.6k - $290.95k

Solventum

Director, Payer Solutions

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

The Impact You'll Make in this Role This role is responsible for overseeing the P/L for the Payer Solutions suite as well as overseeing the payer sales/business development/market across all HIS solutions. The leader oversees payer channel, product, consulting team, client engagement, account management, and commercialization efforts to drive revenue growth, successful implementations, strong product performance, and market expansion across payers (commercial, Medicaid, Medicare, marketplace). Current solutions focus on platforms and consulting addressing advanced healthcare payment models, value-based care models, and population severity adjustment. The Director oversees payer-facing strategy and operations, health plan relationship management and contracting, and cross-functional teams supporting payer product, consulting, and engagement.

As a(n) Director, Payer Solutions you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

  • Drive revenue growth, implementation success, product performance, client impact and market expansion with payers.
  • Responsible for profit and loss (P&L) performance for payer business; lead payer business operations, strategy, and innovation
  • Drive product innovation and ensure meaningful client impact advancing patient safety, efficiency, improved access and outcomes
  • Manage payer product, consulting, and engagement teams.
  • Oversee health plan client relationship and account management, including contracting negotiations, renewals, and related policy considerations.
  • Provide people leadership through coaching, performance management, training, and development for assigned employees.
  • May involve supporting international arrangements

Your Skills and Expertise

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

  • Bachelor's degree or higher from an accredited university.

AND

In addition to the above requirements, the following are also required:

  • 7+ years of experience managing a P/L in health care software or services company with demonstrated history of driving growth
  • 5+ years overseeing sales or business development team
  • 5+ years of experience with advanced payment model design/implementation and/or value-based care design
  • 5+ years of managing functionally diverse teams with greater than 20 FTEs
  • Ability to travel up to 50%.

Additional qualifications that could help you succeed even further in this role include:

  • MBA, PhD, MD, MPH or other advanced degree in healthcare, public health, business, or a related field from an accredited university.
  • Evidence of extensive thought leadership
  • Experience as a healthcare consultant or overseeing a payer healthcare consulting team

Work location: Remote

Travel: travel up to 50%.

Relocation Assistance: Is not authorized

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Supporting Your Well-being

Solventum offers many programs to help you live your best life both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.

Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later. Applicable to US Applicants Only:The expected compensation range for this position is $211,600 - $290,950, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at:

Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.

Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.

Solventum Global Terms of Use and Privacy Statement

Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms.

Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms.

Solventum
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Director, Payer Solutions in Pittsburgh, PA vacancy
  •  ...60 and others. If you're as passionate about your future as we are, join our team.KPMG is currently seeking an Associate Director, Presales Solution Architect - KYC/AML to join our KPMG Delivery Network organization.Responsibilities:Lead KYC / AML Solution Architecture... 
    Suggested
    H1b
    Local area

    KPMG

    Pittsburgh, PA
    7 hours ago
  • $77k - $202k

     ...LevelSenior AssociateJob Description & SummaryThe OpportunityAs a Payer Operations & Transformation Consultant, Senior Associate, you...  ...your skills to analyze complex problems and develop innovative solutions that enhance business performance. As a Senior Associate, you... 
    Suggested
    Full time
    H1b

    PwC

    Pittsburgh, PA
    7 hours ago
  • $99k - $232k

     ...PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.The OpportunityAs part of the P&C Technical Solutions team, you lead the design and implementation of innovative solutions that modernize insurance operations. As a Manager, you... 
    Suggested
    Full time
    H1b

    PwC

    Pittsburgh, PA
    3 days ago
  • $77k - $202k

     ...this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements...  ...You Apart- Master's Degree preferred- Thorough abilities in payer operations strategy- Proficiency in data & analytics,... 
    Suggested
    Full time
    H1b

    PwC

    Pittsburgh, PA
    3 days ago
  • $134k - $168k

     ..., generous benefits and by delivering cutting-edge technology solutions for our clients. Founded in 1990, WWT is a global technology...  ...World Wide Technology is hiring an Associate Client Solutions Director (ACSD) to lead delivery of strategic digital and AI programs,... 
    Suggested
    Full time
    Contract work
    Shift work

    World Wide Technology

    Pittsburgh, PA
    4 days ago
  • $124k - $280k

     ...this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements...  ...operating models and transformation roadmaps across core payer functions. As a Senior Manager, you will serve as a strategic advisor... 
    Full time
    H1b

    PwC

    Pittsburgh, PA
    7 hours ago
  • $118.7k - $243.7k

     ...the account, and drive operational efficiencies in support of account leadership and client service Partners, Principals, Managing Directors, and professionals. You’ll share what other account teams are doing and help to innovate new approaches. You will be the important... 
    Contract work
    Work at office
    Shift work
    3 days per week

    Deloitte

    Pittsburgh, PA
    4 days ago
  • $99k - $232k

     ...this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements...  ...- Proven record of success as a team leader- Experience in payer back office operations- Specialization in claims, enrollment,... 
    Full time
    H1b

    PwC

    Pittsburgh, PA
    3 days ago
  •  ...Payer Enrollment Specialist Hot Job Pittsburgh, PA 15218 Overview Position Type Full Time Description We are seeking...  ...to leadership, identifying potential delays and providing solutions for process improvements. Stay updated on changes in credentialing... 
    Full time
    Work experience placement
    Work at office

    Metro Community Health Center

    Pittsburgh, PA
    2 days ago
  • $80k - $179.4k

     ...have an opportunity to contribute to the company's success. As a Business Development Manager III within PNC's Financial Wellness Solutions organization, you will be based in the Midwest Territory. PNC Financial Wellness Solutions offers a comprehensive suite of services... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office

    PNC Financial Services Group

    Pittsburgh, PA
    2 days ago
  • $198k - $357k

     ...join our team.KPMG is currently seeking an Associate Managing Director to join our Enterprise Contracting Center Technology team.Responsibilities...  ...value and technical strategy; advanced knowledge in strategic solution delivery models to ensure products and/or services continue to... 
    Contract work
    H1b
    Local area

    KPMG

    Pittsburgh, PA
    4 days ago
  • $181.6k - $272.4k

     ...available. It’s a big mission, and that’s where you come in! At Duolingo, you’ll join a team that cares about finding innovative solutions to complex technical problems, running countless experiments (300+ at a time!) with our massive user base to make data-driven decisions... 
    Full time
    Work experience placement
    Relocation

    Duolingo

    Pittsburgh, PA
    5 days ago
  • $144k - $191.25k

     ...program tracking. Dive deep into ML and behavioral issues to facilitate trade-off discussions, and drive teams to convergence on robust solutions.Identify and Resolve Blockers: Proactively identify, quantify, and communicate technical risks and dependencies. You will be... 
    Work at office

    Motional

    Pittsburgh, PA
    7 hours ago
  • $152k - $228k

     ...join a team that cares about educating our users, experimenting with big ideas, making fact-based decisions, and finding innovative solutions to complex problems. You’ll have limitless learning opportunities and daily collaborations with world-class minds — while doing... 
    For contractors
    Work experience placement
    Freelance

    Duolingo

    Pittsburgh, PA
    7 hours ago
  • $183.2k - $274.8k

     ...join a team that cares about educating our users, experimenting with big ideas, making fact-based decisions, and finding innovative solutions to complex problems. You’ll have limitless learning opportunities and daily collaborations with world-class minds — while doing... 
    Work experience placement

    Duolingo

    Pittsburgh, PA
    7 hours ago
  •  ...we are, join our team.KPMG is currently seeking an Associate Director, Oracle Applications to join our Digital Nexus technology organization...  ...eight years of recent experience with Oracle FCCS / EPM solutions, with a strong focus on financial close and... 
    H1b
    Local area

    KPMG

    Pittsburgh, PA
    1 day ago
  • $166.35k - $201.57k

     ...Key Account Manager (Associate Director) Working with Us Challenging. Meaningful. Life...  ...collaboratively build economically accretive solutions beneficial to population health ~ Lead...  ...Direct health system provider and payer experience required Understanding of... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Summer work
    Home office
    Flexible hours

    Bristol Myers Squibb

    Pittsburgh, PA
    3 days ago
  • $128k - $252.5k

     ...ll Do As a Manager on the team, you will be responsible for: Facilitating requirements and design workshops, providing guidance on solution design and best practices, and managing risks and stakeholder communications while ensuring alignment with compliance, policy, and... 
    Local area

    Deloitte

    Pittsburgh, PA
    3 days ago
  • $77k - $202k

     ...this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements...  ...a next-generation analytics platform tailored for healthcare payers. As a Senior Associate, you will analyze complex problems,... 
    Full time
    H1b

    PwC

    Pittsburgh, PA
    1 day ago
  •  ...Status: Full-Time Report s to: Sr. Director, Patient Access Purpose The...  ...operational challenges with a proactive, solutions-focused mindset. Program Implementation...  ...SOPs and day-to-day execution adhere to payer, regulatory, and contractual standards.... 
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Pantherx Specialty LLC

    Pittsburgh, PA
    4 days ago
  •  ...capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts... 
    Work at office
    Remote work
    Flexible hours

    NTT DATA

    Pittsburgh, PA
    3 days ago
  • $133k - $213k

     ...the respective audience. Represent GPSC in program meetings, providing status updates, highlighting risks, and outlining proposed solutions and mitigating steps. Prepare and present succinct, crisp executive summaries to leadership.Drive continuous improvements in data... 
    Work at office
    Local area
    3 days per week

    Aurora Innovation

    Pittsburgh, PA
    1 day ago
  • Xylem is a Fortune 500 global water solutions company dedicated to advancing sustainable impact and empowering the people who make water work every day. As a leading water technology company with 23,000 employees operating in over 150 countries, Xylem is at the forefront... 
    Full time

    Xylem

    Pittsburgh, PA
    2 days ago
  • $118k - $227k

     ...we are, join our team.KPMG is currently seeking an Associate Director, LRMC(Legal, Risk Management and Compliance) Technology Enablement...  ...business and product ownership of assigned implemented solutions, managing system enhancements and updates to support tactical... 
    H1b
    Local area
    Immediate start

    KPMG

    Pittsburgh, PA
    2 days ago
  •  ...Associate Director, PSC Operations Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our...  ...focus, collaboration, initiative, results-oriented, business solution-oriented capabilities. Johnson & Johnson is an Equal Opportunity... 
    Work at office
    Local area

    J&J Family of Companies

    Pittsburgh, PA
    15 hours ago
  • You might not know our name, but youve probably seen our work on stage, on screen or on the field. Our technology solutions and unique Global Production Ecosystem empower content creators to tell their stories in breakthrough ways. Weve supported some of the worlds most... 
    Local area

    Nep Group

    Pittsburgh, PA
    3 days ago
  •  ...philosophy and builds simple, scalable systems that produce measurable business results; this leader and their team will co-create solutions with executives, business leaders, HR Business Partners (HRBPs), and People Analytics—solving the business's problems to ensure a... 
    Rotational program
    Remote work
    Worldwide
    Relocation package
    Monday to Thursday
    Flexible hours

    PPG Industries

    Pittsburgh, PA
    3 days ago
  •  ...Retail Field organization, supporting District Managers, Regional Directors, and Store Leaders across an assigned geographic area. This...  ...workforce metrics to identify trends and recommend actionable solutions.Collaborate with Talent Acquisition and field leadership to... 
    Permanent employment
    Work at office
    Local area
    Remote work
    Work from home

    GNC holdings

    Pittsburgh, PA
    4 days ago
  •  ...Ownership Trust.  You will help improve lives with our innovative solutions that help automate the globe! Demand for Aerotech’s advanced...  ..., elevate employee engagement, and work hand-in-hand with our Director of HR to shape the future of our workforce. Essential... 
    Work at office
    Local area

    AeroTech

    Pittsburgh, PA
    5 days ago
  •  ...we are, join our team.KPMG is currently seeking an Associate Director, Senior Service Designer (GenAI Experience) to join our Digital...  ...Lead the strategic design and delivery of enterprise-wide GenAI solutions, defining the vision for how agentic systems can create... 
    H1b
    Local area

    KPMG

    Pittsburgh, PA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Director, Payer Solutions. Be the first to apply!