Senior Director, Payer Strategy and Operations [Remote]

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Director, Payer Strategy and Operations based in United States.

This senior leadership role sits at the intersection of payer partnerships, value-based care strategy, and commercial operations within a high-growth healthcare environment. You will be responsible for shaping how clinical outcomes, financial performance, and product capabilities are translated into compelling payer partnerships and scalable market strategies. The role requires both strategic vision and operational depth, combining market-facing storytelling with rigorous analytical and financial thinking. You will work closely with executive leadership, clinical teams, product, finance, and commercial functions to design and execute payer engagement strategies that drive growth and improve access to care. A key focus will be building and operationalizing value-based care frameworks that align incentives, strengthen contracting outcomes, and support sustainable expansion. This is a highly visible role where your work directly influences strategic payer relationships and the organization’s ability to scale impact in addiction medicine.

Accountabilities:

• Lead payer strategy development and execution, translating clinical outcomes, product capabilities, and market insights into scalable partnership opportunities.
• Design and evolve value-based care (VBC) strategies, including total cost of care models, risk-sharing structures, and pricing frameworks.
• Partner with Finance to evaluate contract economics, ensuring alignment between payer agreements, reimbursement structures, and organizational performance goals.
• Develop compelling market narratives and storytelling frameworks that communicate value to payer executives and health plan stakeholders.
• Own and enhance commercial enablement materials, including pitch decks, RFP responses, QBR content, and executive presentations.
• Collaborate with Product, Clinical, and Operations teams to translate capabilities into payer-facing positioning, demos, and solution messaging.
• Support complex deal structuring and strategic negotiations for high-value payer partnerships.
• Build and maintain operational rigor across commercial systems, ensuring accurate pipeline tracking, reporting, and performance visibility.
• Deliver insights and reporting to executive leadership, supporting data-driven decision-making across payer growth and strategy.

Requirements:

• 8+ years of experience in healthcare strategy, management consulting, payer partnerships, or value-based care environments.
• Deep understanding of value-based care models, including total cost of care, risk-sharing, and Medicaid managed care dynamics.
• Experience working with or supporting payer organizations, including Medicaid managed care organizations and/or commercial health plans.
• Strong ability to translate complex clinical, operational, and financial data into clear commercial insights and narratives.
• Experience supporting or working with CRM systems (e.g., Salesforce) and business intelligence tools for performance tracking and reporting.
• Strong executive communication skills with experience presenting to senior stakeholders and external partners.
• Demonstrated ability to operate at the intersection of strategy, analytics, and commercial execution.
• Experience in healthcare, digital health, or regulated environments strongly preferred.
• Bachelor’s degree in Business, Healthcare, Economics, or related field (advanced degree preferred).

Benefits:

• Competitive compensation package aligned with experience and market benchmarks
• Comprehensive medical, dental, and vision insurance coverage
• Paid time off, holidays, and parental leave
• 401(k) retirement savings plan
• Remote-first work environment within the United States
• Opportunity to contribute to mission-driven, high-impact healthcare innovation
• Exposure to executive leadership and strategic payer partnerships
• Professional growth in value-based care, healthcare strategy, and commercial leadership
• Strong focus on flexibility, autonomy, and meaningful work.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.