At the forefront of health tech innovation, CopilotIQ+Biofourmis is transforming in-home care with the industry's first AI-driven platform that supports individuals through every stage of their health journey-from pre-surgical optimization to acute, post-acute and chronic care. We are helping people live healthier, longer lives by bringing personalized, proactive care directly into their homes. With CopilotIQ's commitment to enhancing the lives of seniors with chronic conditions and Biofourmis' advanced data-driven insights and virtual care solutions, we're setting a new standard in accessible healthcare. If you're passionate about driving real change in healthcare, join the CopilotIQ+Biofourmis Team!
What is the Director of Program Management, Payor Partnerships role?
The Director of Program Management, Payor Partnerships owns how CopilotIQ delivers for its payor partners, from launch through ongoing operation and growth.
You will run the company's payor programs end to end: owning the operating relationship with each payor, leading the cross-functional delivery that meets the terms of each contract, and building a repeatable model that carries best practices across programs. The work is multi-threaded across payors, so what works in one program strengthens the next. This is a senior, operationally focused role for someone who can manage a sophisticated payor relationship, drive disciplined cross-functional execution, and make the trade-off decisions that keep programs moving.
What you’ll be doing:
- Own the day-to-day operating relationship with each payor partner, serving as their primary point of contact and keeping programs running smoothly and the partnership positioned to grow.
- Lead cross-functional program delivery across clinical, commercial, engineering, and operations, running launches and ongoing operations to scope, timeline, and contractual requirements.
- Apply a disciplined project management approach: define project plans, milestones, decision rights, and operating cadences, track progress against them, and hold each function accountable to its commitments.
- Define and own program KPIs, including enrollment and consent conversion, implementation milestones, service levels, program efficiency, and quality and outcome measures, reporting on performance and driving action where targets are missed.
- Build a repeatable payor operating model and playbook so launches, workflows, and best practices.
What you’ll bring
- Bachelor's degree required. Advanced degree a plus.
- 8+ years in program management, payor or provider operations, healthcare strategy, or comparable operating roles is required. Experience at a top-tier consulting firm is a plus.
- Proven success managing complex, high-stakes client or partner relationships with discipline, strong EQ, and sound long-term judgment.
- Strong program and project management skills, with a track record of running cross-functional delivery to scope, timeline, and quality across multiple teams.
- Strong analytical and problem-solving skills, comfortable defining KPIs, working in spreadsheets and BI tools, and using data to manage program performance.
- Sound business judgment, with the ability to identify risks and opportunities early and bring forward clear, well-reasoned recommendations.
- Clear, concise communication and executive presence, with a collaborative, team-first approach across functions.
- Thrives in fast-paced, ambiguous environments with an ownership mindset. Experience in healthcare, value-based care, or Medicare Advantage is a plus.
Skills Required
- Bachelor's degree
- Advanced degree
- 8+ years in program management, payor or provider operations, healthcare strategy, or comparable operating roles
- Experience at a top-tier consulting firm
- Proven success managing complex client or partner relationships with strong EQ and judgment
- Strong program and project management skills running cross-functional delivery to scope, timeline, and quality
- Strong analytical and problem-solving skills; comfortable defining KPIs, working in spreadsheets and BI tools, and using data to manage performance
- Sound business judgment with ability to identify risks/opportunities and recommend actions
- Clear, concise communication and executive presence; collaborative, team-first approach
- Experience in healthcare, value-based care, or Medicare Advantage
- Thrives in fast-paced, ambiguous environments with an ownership mindset
What We Do
At CopilotIQ, our mission is clear: we are dedicated to delivering world-class care to seniors facing chronic conditions such as diabetes and hypertension. We firmly believe that every patient should have access to expert healthcare monitoring, consistent data collection, thoughtful support, and personalized care. Our primary focus is on prevention – averting heart attacks and strokes before they even arise. CopilotIQ is at the forefront of pioneering solutions that proactively address diabetes and hypertension, preventing them from escalating into crises. We collect an extraordinary 1,000 times more data than traditional healthcare providers. Our AI-powered software anticipates problems, signals nurses for timely intervention, and drives comprehensive treatment plans. By uniting the expertise of consistent remote nursing with cutting-edge AI technology, we provide patients with customized and proactive care. In our ongoing pursuit of excellence, we're expanding the use of wearables and non-invasive devices to multiply the volume of data points from thousands to millions. CopilotIQ is not merely transforming healthcare; we are empowering seniors to lead healthier lives, free from the looming threat of medical emergencies.
Why Work With Us
At CopilotIQ, our uniqueness lies in fusing advanced AI with personalized clinical care, revolutionizing senior chronic condition management. We're a mission-driven team, dedicated to improving lives and shaping healthcare's future. Our remote-friendly culture values diversity, fostering innovation through varied backgrounds and abilities.
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