Manager, Payor Strategy and Contracting

Manager, Payor Strategy & Contracting (Contract)

Remote

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. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare.

What You'll Own

Payer Strategy & Negotiation

• Lead end-to-end negotiation of payer agreements, including FFS, value-based, risk-bearing, and hybrid models
• Drive rate optimization and contract structures that improve contribution margin and long-term scalability
• Leverage existing payer relationships to accelerate deal cycles and unlock favorable terms
• Review health plan contract language, and is familiar with payor, medical group/IPA, and hospital/ancillary contract language and reimbursement mechanisms
• Applies knowledge of healthcare delivery system, IPA operations, managed care, healthcare laws in assisting with the development of contracting strategies
• Build tools and reporting that give leadership visibility into payer performance and opportunities

Deal Architecture & Financial Alignment

• Partner with Legal, Finance and Ops to align contracts with unit economics, pricing strategy, and regulatory requirements/healthcare laws
• Translate clinical programs (virtual care, longitudinal care, life sciences) into compelling, reimbursable models
• Ensure contracts support enterprise goals around margin expansion and sustainable growth

Cross-Functional Leadership

• Act as the central quarterback across Legal, Finance, Clinical, and Ops to structure and finalize deals
• Provide clear guidance on tradeoffs, risks, and strategic implications of contract terms
• Build internal clarity on how payer dynamics impact product, pricing, and operations

Market Intelligence & Relationship Management

• Maintain and deepen senior-level relationships across national and regional payers
• Bring forward insights on payer priorities, reimbursement trends, and competitive positioning
• Position Wheel as a credible, strategic partner

Who You Are

• 8–10+ years in managed care contracting, with a strong track record of leading negotiations with national and regional health plans
• Proven ability to secure competitive rates and structure complex agreements (FFS, VBC, risk-based)
• Established strategic payor relationships — you know who to call, and they pick up
• Deep understanding of reimbursement models, healthcare economics, and virtual care delivery
• Experience aligning contracting strategy with financial models, pricing, and operational realities
• Highly credible communicator who can operate at both executive and operator levels
• Comfortable in ambiguity — able to build structure where none exists and move quickly

What Success Looks Like

• Accelerated execution of high-priority payer contracts with improved rate structures
• Clear linkage between payer agreements and margin + pricing strategy
• Established internal operating model for payer contracting that scales with growth
• Strengthened payer relationships that position Wheel for long-term partnership

Wheel is committed to equal employment opportunities for all team members. Every decision we make regarding employment is solely based on merit, competence, and performance. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills.

Research shows that underrepresented groups typically apply only if they meet 100% of the criteria listed. At Wheel, we encourage women, people of color, and LGBTQ+ job seekers to apply for positions even if they don't check every box for the role.