Director, Payer Partnerships

Posted 11 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
Senior level
Healthtech
The Role
Lead payer contracting for a diagnostic/digital health product: win in-network agreements (especially with Blues), execute activation and payment models, secure member data/access and outreach authorization, and coordinate cross-functionally to drive plan activation and post-launch performance.
Summary Generated by Built In

Location: Remote - United States + Travel
Employment Type: Full-time
Department: Partnerships
Reports to: VP, Commercial

Why We Are Hiring For This Role

With commercial coverage for self-collected cervical cancer screening imminent, the opportunity to establish favorable in-network agreements is significant and immediate. Teal Health is looking for an experienced payer contracting leader to own our health plan channel end to end — winning in-network agreements at strong rates, then negotiating the activation, payment model, and program rollout that turn a covered benefit into screened members.

What You'll Do
  • Win and execute in-network agreements — converting commercial plans from out-of-network to in-network, and bringing plans live under existing national agreements, through to signed paper and an agreed payment model

  • Drive activation across plans — securing member data access and outreach authorization, and aligning the plan's quality and HEDIS incentives with closing screening gaps

  • Work cross-functionally with integration and customer success teams on activation and post-launch account performance

What We're Looking ForRequired
  • Proven payer contracting track record at a diagnostic or digital health company, taking out-of-network to in-network agreements through to signed

  • Regional Blues contracting experience, including plan-level work under national agreements

  • Fluency across reimbursement models (invoice, claims, PMPM, case rates) and the judgment to steer a plan toward the right one

  • Credible owning activation post-signature — including member data access and outreach authorization — not just closing paper

  • Thrives at a Series A company, motivated by ambiguity and a channel still being built

  • Willing to travel

Preferred
  • Familiarity with care gap closure programs and HEDIS measure dynamics

  • Familiarity with Medicaid managed care (MCO) contracting

Skills Required

  • Proven payer contracting track record at a diagnostic or digital health company, taking out-of-network to in-network agreements through to signed
  • Regional Blues contracting experience, including plan-level work under national agreements
  • Fluency across reimbursement models (invoice, claims, PMPM, case rates) and judgment to steer a plan toward the right one
  • Credible owning activation post-signature, including member data access and outreach authorization
  • Comfort thriving at a Series A company and operating in ambiguity while building a channel
  • Familiarity with care gap closure programs and HEDIS measure dynamics
  • Familiarity with Medicaid managed care (MCO) contracting
Am I A Good Fit?
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The Company
HQ: Alexandria, VA
10 Employees
Year Founded: 2020

What We Do

Teal Health is on a mission to empower women when it comes to their health – starting with at-home cervical cancer screenings. We believe that it’s time for women’s health to be designed for women, their preferences, and their experiences. With this in mind, Teal Health is creating the first FDA-approved at-home cervical cancer screening making it simple for a woman to stay current on this life-saving screening from the comfort, convenience, and privacy of her home. Through timely screenings, Teal health plans to eradicate cervical cancer in the US. Teal is backed by passionate and committed investors who share this important vision, including Felicis Ventures, Emerson Collective, Metrodora, and Serena Ventures.

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