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Director, Payer Partnerships

5 days, 1 hour ago
United States
Full-time
Lead
Partnerships Manager
Sales and Business Development
CRM
Apply Now
Boulder Care

Boulder Care

Boulder Care provides telehealth addiction treatment with a dedicated care team, grounded in kindness and support, championing low threshold access to medications for addiction treatment.

Health Care Providers & Services
51-250
Founded 2017
$82M raised
View All Jobs 3

Description

  • Own the end-to-end sales cycle for new payer partnerships from first pitch through signed value-based care and pay-for-performance contracts.
  • Lead renegotiations with existing fee-for-service partners to transition them into risk-sharing and value-based care frameworks.
  • Serve as the primary negotiator on contract terms, rates, and performance metrics.
  • Build data-driven value propositions tailored to each health plan’s population and priorities.
  • Manage the full contracting lifecycle through discovery, redlining, execution, and handoff to Partner Success.
  • Build and manage a pipeline of payer prospects and forecast revenue using CRM tools.
  • Conduct market research on payer landscapes, competitor positioning, and regulatory changes affecting value-based care opportunities.
  • Identify and prioritize targets such as Medicaid MCOs, Medicare Advantage plans, and commercial health plans.
  • Share market feedback with internal teams to inform product development, pricing, and clinical program design.
  • Represent Boulder Care at industry conferences, payer summits, and networking events.

Requirements

  • 5-7+ years of progressive experience in healthcare sales, payer contracting, network development, or managed care.
  • Experience negotiating and closing complex value-based care, shared savings, or pay-for-performance contracts with health plans.
  • Deep knowledge of alternative payment models, population health strategies, and how Medicaid, Medicare Advantage, and commercial plans operate.
  • Strong negotiation, financial, and analytical skills, including building and interpreting pricing and ROI models.
  • Executive presence with ability to pitch and influence C-suite decision-makers at major health plans.
  • Excellent written and verbal communication skills.
  • Self-starter mindset with comfort working autonomously in a fast-paced, high-growth environment.
  • Integrity, strategic thinking, and professionalism aligned with Boulder Care’s values.
  • Experience selling to or negotiating with payers in behavioral health, substance use disorder, or digital health (preferred).
  • An active network of senior-level contacts at regional and national health plans (preferred).
  • Familiarity with regulatory requirements and compliance standards related to value-based care and telehealth (preferred).
  • Must reside and work in one of the approved remote states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, MI, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, or WV.

Benefits

  • Starting base salary of $160,000-$180,000.
  • Comprehensive medical, dental, vision, and short-term disability coverage.
  • Mental health support through insurance, including Talkspace and EAP.
  • 401(k) retirement savings eligibility.
  • 4 weeks of vacation accrued per year, increasing to 5 weeks after 2 years.
  • Sick leave accrued at 1 hour for every 30 hours paid.
  • 9 paid holidays per year.
  • 12 weeks of 100% paid parental leave after 6 months of employment.
  • Remote-friendly work with hardware provided.
  • Access to Boulder Care’s Portland, OR headquarters when desired.

Interested in this position?

Apply directly on the company website

Apply Now

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