Company
Healthcare
SeniorDirector,PayerStrategyandOperations
Neural analysis suggests this role is
optimal for Director candidates.
“Senior Director, Payer Strategy and Operations. Skills: Payer strategy, Value-based care, Commercial execution. Lead payer strategy development. Lead payer strategy execution”
Industry & Context.
Commercial insights; Data-driven decision making
What They're Looking For.
Must Have
8+ years experience, Deep understanding of VBC models, Experience with payer organizations, Translate data into insights, Experience with CRM systems, Executive communication skills, Operate at strategy intersection, Bachelor's degree
Nice to Have
Advanced degree preferred, Experience in digital health, Experience in regulated environments
What You'll Do.
Lead payer strategy development
Lead payer strategy execution
Translate clinical outcomes
Translate product capabilities
Translate market insights
Design VBC strategies
Evolve VBC strategies
Evaluate contract economics
Develop market narratives
Develop storytelling frameworks
Own commercial enablement materials
Enhance commercial enablement materials
Collaborate with Product teams
Collaborate with Clinical teams
Collaborate with Operations teams
Translate capabilities into positioning
Translate capabilities into demos
Translate capabilities into messaging
Support complex deal structuring
Support strategic negotiations
Build operational rigor
Maintain operational rigor
Ensure accurate pipeline tracking
Ensure reporting accuracy
Ensure performance visibility
Deliver insights to leadership
Deliver reporting to leadership
How You'll Work.
Team & Collaboration
Partner with Finance; Collaborate with Product; Collaborate with Clinical; Collaborate with Operations
Communication Scope
Executive presentations; External partner presentations
Full Job Description
## 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
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