Strategic Payor Partnerships Lead for Value-Based Care

Carex Consulting Group; New York (NY); Hybrid; USD 200,000 - 220,000; Full time

Benefits offered by this job

Equity

Job summary

Carex Consulting Group partners with a healthtech startup to identify a strategic Head of Payor Partnerships to lead health plan relationships, drive contracting strategies, and expand value-based care partnerships nationwide.

Reporting to the CEO, this leader will oversee end-to-end payor partnerships through market identification, business development, contract negotiations, implementation, and performance management in a fast-paced, entrepreneurial setting.

Qualifications

• 4–6 years of experience in healthcare payor relations or related external-facing role.
• Experience with value-based care contracting and negotiation with payors.
• Strong understanding of commercial and government payor environments and reimbursement models.
• Proven ability to develop and execute strategic partnership initiatives and manage complex negotiations.

Responsibilities

• Lead identification, development, negotiation, and implementation of strategic partnerships with payors.
• Develop and execute a comprehensive payor engagement strategy.
• Establish and maintain relationships with health plan executives and decision-makers.
• Own end-to-end payor contracting lifecycle including financial analysis and term sheet development.
• Drive value-based care contracting initiatives and alignment of incentives.
• Develop market-specific financial/operational models for revenue opportunities.
• Create and execute negotiation strategies supported by financial modeling and market intelligence.
• Lead contract review and redlining with legal, finance and operations.
• Partner cross-functionally for successful implementation and ongoing management.
• Monitor partnership performance and communicate insights to leadership.
• Establish and track KPIs for contracting progress and impact.
• Maintain pipeline reporting and market intelligence using CRM tools.

Skills

Payor relations

Contract negotiation

Financial modeling

Strategic partnerships

Healthcare industry knowledge

Tools

Salesforce

HubSpot

Job description

Carex Consulting Group partners with a healthtech startup to identify a strategic Head of Payor Partnerships to lead health plan relationships, drive contracting strategies, and expand value-based care partnerships nationwide.

Reporting to the CEO, this leader will oversee end-to-end payor partnerships through market identification, business development, contract negotiations, implementation, and performance management in a fast-paced, entrepreneurial setting.