Payer Strategy Leader - Health Plans & Value-Based Care

Nabi

United States

Hybrid

USD 210,000 - 330,000

Full time

5 days ago
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Benefits offered by this job

Meaningful equity
Competitive compensation
Comprehensive benefits

Job summary

Nabi is seeking a VP of Payer Strategy to own the transition to value-based care and new reimbursement models. You will build national and regional payer strategy, forge senior payer partnerships, and design innovative contracts and payment structures.

You will work closely with the CEO and leadership to build the payer function from the ground up, translating clinical outcomes and technology into a compelling payer narrative and ROI.

Qualifications

  • Deep experience with commercial health plans, contracting, network strategy, payer partnerships, or value-based care.
  • Builder mentality: create the payer function rather than inherit a playbook.
  • High ownership: move quickly, operate in ambiguity, drive work to completion.
  • Crisp communicator: translate complex clinical/financial ideas for executives and internal teams.
  • Mission-aligned: improve how healthcare is delivered and paid for.

Responsibilities

  • Own payer strategy: develop and execute national and regional plans and prioritize markets and models.
  • Build payer partnerships: establish senior relationships and long-term collaborations.
  • Expand and improve contracts: lead contracting and renegotiations to broaden networks and improve reimbursement.
  • Build payer value proposition: translate our model and outcomes into a compelling payer story with data and business cases.
  • Develop alternative payment models: design and negotiate case rates, bundles, pay-for-performance, value-based arrangements.
  • Own payer customer success: set cadence for relationships with regular meetings and reviews.
  • Build the economic case: model unit economics and ROI with finance, clinical, and ops.
  • Build the function: establish processes, data, relationships, and team requirements.

Skills

Health plans
Contracting
Payer partnerships
Value-based care
Strategic storytelling
High ownership

Tools

CRM systems
Contract management

Job description

Nabi is seeking a VP of Payer Strategy to own the transition to value-based care and new reimbursement models. You will build national and regional payer strategy, forge senior payer partnerships, and design innovative contracts and payment structures.

You will work closely with the CEO and leadership to build the payer function from the ground up, translating clinical outcomes and technology into a compelling payer narrative and ROI.

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