Director of Network Product & Payments

Nomi Health; United States; Remote; USD 140,000 - 180,000; Full time

Job summary

Nomi Health is seeking a market-facing role focused on designing partner solutions, data exchange, and pricing for healthcare networks in the United States. You will shape how providers are priced, how data flows between partners, and how segments are evaluated to maximize value for employers and payers.

You will collaborate across network, GTM, and sales teams, write precise integration requirements, and lead critical discussions with brokers, TPAs, and health systems.

Qualifications

• Understanding billed, allowed, and paid concepts with practical fee schedules.
• Experience at a health plan, TPA, pricing vendor, or related org.
• Familiarity with 837, 835, and eligibility file formats.
• Ability to make credible commitments to brokers or health systems.
• Ability to set priorities independently and execute.
• Ability to read data models and guide engineers clearly.
• Willingness to avoid writing production code.

Responsibilities

• Market solution design with cross-functional teams and markets.
• Write integration requirements between Nomi and partners in the claim lifecycle.
• Own the pricing path from signed rate to correctly priced claims.
• Manage provider data model, directory, and related metrics.
• Evaluate new segments and defend recommendations to sales.
• Coordinate with payments teams on pricing-impacting changes.

Skills

Reimbursement fluency

Domain background

Data exchange experience

Commercial confidence

Self-directed approach

Technical fluency

Strong written communication

Job description

Nomi Health is seeking a market-facing role focused on designing partner solutions, data exchange, and pricing for healthcare networks in the United States. You will shape how providers are priced, how data flows between partners, and how segments are evaluated to maximize value for employers and payers.

You will collaborate across network, GTM, and sales teams, write precise integration requirements, and lead critical discussions with brokers, TPAs, and health systems.