Sr. Strategic Program Manager

Role Description

Join Carrot as our Sr. Strategic Programs Manager and play a pivotal role in shaping the future of fertility reimbursement and pharmacy solutions. This highly cross-functional role sits within Global Clinical Operations and serves as the operational leader for Carrot Rx while helping drive the evolution of claims-based billing capabilities that enable Carrot's continued growth with health plans, employers, and provider partners.

In this role, you'll partner across various teams to:

• Develop reimbursement strategies.
• Launch strategic initiatives.
• Manage pharmacy partnerships.
• Bring new capabilities to market.

If you're energized by building new programs, collaborating across teams, using data to inform decisions, and translating complex healthcare reimbursement into scalable solutions, this is an opportunity to make a meaningful impact in one of healthcare's fastest-growing benefit categories.

What You’ll Own

• Lead the operational strategy and day-to-day management of Carrot Rx, including strategic pharmacy partnerships, reimbursement strategy, pricing updates, benefit design, and program governance.
• Develop and support Carrot's claims-based billing strategy, partnering across teams to build scalable reimbursement capabilities.
• Manage relationships with pharmaceutical manufacturers, specialty pharmacies, PBMs, provider organizations, and health plans to strengthen Carrot's reimbursement ecosystem.
• Support payer integrations, reimbursement methodologies, coding governance, and claims adjudication strategies that improve member and customer experiences.
• Develop financial models, business cases, dashboards, and operational reporting that support reimbursement strategy, pricing decisions, commercial opportunities, and executive decision making.
• Analyze reimbursement, utilization, provider, pharmacy, and health plan performance to identify opportunities for cost optimization, network improvements, and operational efficiencies.
• Partner with Commercial on customer implementations, RFPs, RFIs, performance guarantees, and strategic customer opportunities requiring reimbursement expertise.
• Lead cross-functional initiatives from concept through implementation while aligning stakeholders across various teams.
• Identify opportunities to improve operational processes through automation, analytics, and scalable program design.
• Serve as the subject matter expert for Carrot Rx and claims-based billing across the organization.

What Success Looks Like

• Successfully assumed operational ownership of Carrot Rx and established scalable processes supporting pharmacy partnerships, pricing, reporting, and program governance.
• Supported the continued development and implementation of Carrot's claims-based billing strategy and reimbursement capabilities.
• Built strong relationships with internal stakeholders and external partners, becoming a trusted advisor on reimbursement strategy and pharmacy operations.
• Improved operational efficiency through enhanced reporting, automation, and financial analyses that support data-driven decision making.
• Supported successful customer implementations, commercial opportunities, and strategic payer partnerships requiring reimbursement expertise.
• Developed financial models and business cases supporting provider contracting, pharmacy partnerships, and future product initiatives.
• Helped identify and implement opportunities that improve reimbursement performance, customer value, and long-term program scalability.

Qualifications

• A Bachelor’s degree.
• 5+ years of experience in healthcare strategy, payer operations, reimbursement, pharmacy, provider contracting, healthcare analytics, consulting, or a related field.
• Experience working with health plans, employer-sponsored benefits, provider reimbursement, pharmacy benefit programs, or healthcare payment models.
• Strong analytical and strategic problem-solving skills with the ability to translate complex healthcare topics into actionable business recommendations.
• Experience leading complex cross-functional initiatives involving multiple stakeholders.
• Excellent communication, stakeholder management, and project management skills.
• The ability to balance strategic thinking with hands-on execution in a fast-paced, evolving environment.
• A collaborative mindset with a passion for improving healthcare through innovative solutions.

Nice to Have

• Experience supporting claims-based billing, reimbursement strategy, or payer integration initiatives.
• Knowledge of fertility benefits, reproductive healthcare, pharmacy benefit management (PBM), specialty pharmacy, or women's health.
• Familiarity with provider reimbursement methodologies, CPT, HCPCS, diagnosis coding, and health plan claims processing.
• Experience supporting commercial strategy, customer implementations, RFPs, RFIs, or consulting engagements.
• Strong analytical skills with experience using SQL, Excel, Google Sheets, Tableau, Looker, or other healthcare analytics tools.
• Experience working with pharmaceutical manufacturers, specialty pharmacies, PBMs, or provider organizations.

Benefits

• A mission-driven company focused on expanding access to fertility and family-forming care globally.
• A high-growth environment where leaders are empowered to shape strategy and drive impact.
• Competitive compensation, equity, and comprehensive benefits.
• Flexible Time Off and a culture that actively encourages employees to recharge.
• Comprehensive parental leave and family-forming benefits.
• A collaborative, inclusive, and values-driven culture.
• The opportunity to work alongside passionate, thoughtful teammates committed to improving healthcare outcomes worldwide.

Compensation

The starting base salary for this position will range from $145,000-$160,000. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.