Payer Network Strategy Leader

Entyre Care; Boston (MA); On-site; USD 280,000 - 420,000; Full time

Job summary

Entyre is seeking its Head of Network Strategy, the first payer-focused leadership hire. You will own national Medicaid/Managed Care relationships, build the payer function from zero, and turn a patchwork of contracts into a strategic asset.

This is hands-on deal-making, not formatted account management, with direct reporting to the founder. You bring 3+ years in Medicaid managed care on the payer side, national relationships you can activate day one, and the ability to negotiate and redline

Qualifications

• 3+ years in Medicaid managed care with payer-side leadership.
• Experience building a payer function across multiple states.
• Ability to negotiate and redline contracts personally.
• National relationships you can activate from day one.
• Willingness to travel and engage in on-site collaboration.

Responsibilities

• Own the national relationships with major payers, standardizing conversations across states.
• Build the full payer inventory: contracts, rates, terms, and renewal dates.
• Break into closed networks in new states and convert denials to signed contracts.
• Negotiate rates using outcomes data on hospitalization avoidance and caregiver retention.
• Establish operating cadence with plans: joint committees and quarterly reviews.
• Build the contracting and credentialing engine and hire the team to run it.
• Collaborate with state GMs on a clear split of responsibilities and authority.
• Feed payer intelligence back into rate advocacy and policy work.

Skills

Medicaid managed care

National payer relationships

Deal-making

Contract negotiation

Team building

Data-driven decisions

Job description

Entyre is seeking its Head of Network Strategy, the first payer-focused leadership hire. You will own national Medicaid/Managed Care relationships, build the payer function from zero, and turn a patchwork of contracts into a strategic asset.

This is hands-on deal-making, not formatted account management, with direct reporting to the founder. You bring 3+ years in Medicaid managed care on the payer side, national relationships you can activate day one, and the ability to negotiate and redline