Director, Health Plan Success

About Flourish Health

Flourish Health is transforming mental healthcare for children, adolescents, and young adults with serious mental health needs.

We partner with Medicaid health plans to deliver comprehensive, technology-enabled mental healthcare to young people who might otherwise require hospitalization, residential treatment, or other intensive services.

Our multidisciplinary care model brings together psychiatrists, therapists, patient guides, and family guides to provide personalized, high-quality care that helps young people and their families thrive.

We are a mission-driven, rapidly growing company committed to delivering exceptional clinical outcomes, building strong partnerships, and making high-quality mental healthcare accessible to those who need it most.

About the Role

Flourish Health is seeking a Director, Health Plan Success to lead and strengthen relationships with our existing contracted health plan partners.

This individual will serve as the primary strategic relationship manager for a portfolio of Medicaid managed care organizations, ensuring that our health plan partners experience exceptional service, understand the clinical and financial value of Flourish, and view us as a trusted, long-term partner.

The Director will be responsible for partner satisfaction, relationship management, contract performance and retention within existing health plan accounts. The Director will own the full post-sales health plan lifecycle, beginning with late-stage contracting and implementation, and continuing through ongoing relationship management, contract performance, retention, and account expansion. Crucially, the Director will collaborate with the Growth team to maximize referrals from existing health plan accounts.

The ideal candidate combines strong relationship-building skills, a deep understanding of Medicaid managed care, behavioral health, exceptional organizational and analytical abilities, and a passion for improving outcomes for young people with serious mental health needs.

This is a highly visible, cross-functional role with meaningful opportunities to influence Flourish’s growth and long-term impact.

Key Responsibilities

1. Health Plan Relationship Management

• Serve as the primary relationship owner for a portfolio of existing contracted health plans.

• Build and maintain trusted relationships with health plan executives, behavioral health leaders, clinical teams, network management, and operational stakeholders.

• Develop a deep understanding of each partner’s strategic priorities, membership needs, operational challenges, and expectations of Flourish.

• Establish structured communication cadences, including regular check-ins, quarterly business reviews, and executive-level meetings.

• Proactively identify and address relationship risks, partner concerns, and emerging opportunities.

• Ensure health plan partners experience Flourish as a responsive, reliable, collaborative, and high-performing organization.

2. Contract Performance & Partner Success

• Own the overall success of existing health plan partnerships, ensuring Flourish meets contractual commitments and delivers a consistently excellent partner experience.

• Build and maintain power/preference chart for each existing health plan, ensuring Flourish has buy-in at multiple levels of each partner.

• Develop and maintain account success plans with clear objectives, performance metrics, stakeholder maps, and action items.

• Monitor key partnership metrics, including referrals, admissions, patient engagement, clinical outcomes, utilization, and operational performance.

• Partner with internal clinical, growth, and operations leaders to identify and resolve barriers to contract performance.

• Coordinate cross-functional responses to health plan questions, escalations, and performance concerns.

• Ensure issues are addressed promptly, with clear accountability, communication, and follow-through.

• Identify potential contract renewal risks early and develop proactive mitigation strategies.

3. Outcomes Reporting & Demonstrating Value

• Lead the preparation and presentation of regular performance reports, joint operating committee meetings and quarterly business reviews for health plan partners.

• Strong command of data outcomes reporting. Translate clinical outcomes, utilization trends, patient experience data, and financial impact into compelling, actionable insights.

• Partner with Clinical Leadership, Finance, Data, and Product teams to ensure accurate, timely, and meaningful reporting.

• Demonstrate Flourish’s impact on hospitalizations, emergency department utilization, residential treatment, and other relevant outcomes.

• Help health plan partners understand the populations Flourish serves best and the value our intervention provides.

• Gather partner feedback to continuously improve reporting, communication, and the overall partnership experience.

4. Account Growth & Expansion

• Identify opportunities to increase the impact and reach of Flourish within existing contracted health plans.

• Partner with Patient Growth leadership to understand referral volumes, conversion rates, and barriers to patient enrollment.

• Work with health plan partners to improve referral pathways, strengthen internal awareness of Flourish, and expand access for eligible members.

• Identify opportunities for geographic expansion, additional populations, new products, and expanded contract scope.

• Develop strategic account growth plans in partnership with executive leadership.

• Support contract renewals, amendments, and expansions, partnering with the CEO on significant commercial negotiations.

• Help health plan partners see Flourish as a strategic partner in achieving their broader behavioral health objectives.

5. Cross-Functional Leadership & Internal Coordination

• Serve as the voice of the health plan partner within Flourish, ensuring partner priorities and feedback inform organizational decisions.

• Collaborate closely with Patient Growth, Payer Operations, Clinical Leadership, Finance, Product, and other internal teams.

• Coordinate successful transitions from new contract execution and implementation into ongoing account management.

• Establish clear internal ownership, action plans, and timelines for health plan deliverables and escalations.

• Lead cross-functional initiatives to improve partner experience, operational efficiency, and contract performance.

• Identify recurring partner needs and recommend scalable processes, tools, and systems to support Flourish’s growing portfolio of health plan relationships.

6. Health Plan Implementation & Launch

• Lead the implementation and launch of new health plan contracts, serving as the primary owner of implementation once a prospective contract reaches approximately 80% likelihood of execution.

• Partner closely with the CEO during the late-stage contracting process to understand contractual commitments, build relationships with key stakeholders, and proactively prepare for implementation.

• Develop and execute comprehensive implementation plans, coordinating internal teams and health plan stakeholders to ensure timely, successful launches.

• Own the day-to-day execution of implementation, proactively identifying and resolving blockers while strategically engaging the CEO for executive visibility, relationship development, or escalations requiring senior-level intervention.

• Coordinate three critical implementation workstreams:

  • Claims and billing readiness: Partner with Payer Operations and health plan counterparts to ensure CPT codes, claims configurations, reimbursement arrangements, and billing processes are correctly established and validated before launch.

  • Case management engagement: Coordinate with Patient Growth to organize and deliver presentations to health plan case management teams, ensuring referral partners understand Flourish's clinical model, eligibility criteria, and referral processes.

  • Member list and data integration: Partner with Engineering and technical stakeholders to establish secure SFTP file transfers, validate member list delivery, and ensure referral data flows reliably into Flourish's patient acquisition workflows.

• Establish clear implementation milestones, owners, timelines, and success criteria, maintaining accountability across internal and external stakeholders.

• Provide regular implementation updates to executive leadership, highlighting progress, risks, decisions needed, and launch readiness.

• Ensure a seamless transition from implementation to ongoing account management, maintaining continuity in health plan relationships and accountability for contract performance.

• Develop repeatable implementation playbooks and processes that enable Flourish to launch new health plan partnerships efficiently and consistently as the organization scales.

Qualifications

Required

• 7+ years of experience in healthcare, including significant experience in health plan account management, payer partnerships, provider relations, client success, or a closely related function.

• Experience working directly with Medicaid managed care organizations or other health plan partners.

• Demonstrated success managing complex, high-value relationships with multiple stakeholders.

• Strong understanding of managed care operations, healthcare delivery, and payer-provider partnerships.

• Ability to interpret healthcare performance data, identify trends, and communicate actionable insights.

• Excellent executive communication, relationship management, and presentation skills.

• Strong project management skills, with the ability to coordinate complex initiatives across multiple teams.

• Demonstrated ability to navigate challenging partner conversations, resolve escalations, and build trust.

• High degree of ownership, initiative, organization, and attention to detail.

• Strong commitment to improving access, quality, and outcomes in behavioral healthcare.

Preferred

• Experience working with Medicaid behavioral health programs, specialty provider networks, or value-based care arrangements.

• Experience managing relationships with national or regional Medicaid managed care organizations.

• Familiarity with behavioral health utilization, clinical outcomes, and healthcare cost-of-care analyses.

• Experience in a high-growth, technology-enabled healthcare services organization.

• Experience supporting contract renewals, expansions, or strategic account growth.

• Familiarity with CRM systems, account management platforms, and healthcare analytics tools.

Salary: $120,000-$150,000

Benefits:

• 401(k)

• Paid time off

• Home office stipend

• Health insurance

• Vision insurance

• Dental insurance

Job Type: Full-Time

Work location: Remote, with some travel required. Additional in-person event attendance required 2+ times per year.

Schedule: Monday- Friday 8:30am-5pm/ 9am- 5:30pm in your local time zone

EEO statement

Flourish Health is an Equal Employment Opportunity (EEO) employer. We are committed to providing a work environment that is free from discrimination and harassment on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local laws. We embrace diversity and encourage all qualified candidates to apply, as we believe that our differences make us stronger and more innovative. Our dedication to inclusivity is the foundation of our work culture, where everyone is valued, respected, and has an equal opportunity to thrive.

E-Verify

Flourish Health participates in E-Verify. As an employer, we comply with federal law by verifying the identity and employment eligibility of all individuals hired to work in the United States.