Pomelo Care

Pomelo Care is a virtual maternity care program that supplements traditional pregnancy care with unlimited, customized support. They offer services like consulting with a dietitian for prenatal vitamins, speaking to a therapist for labor anxiety, and j...

Health Care Providers & Services

Health Care

11-50 (30)

$41M raised

23 open positions

Links

View All Jobs

Director of Payer Contracting

1 month ago

United States

Full-time

Executive

Business Development

Sales and Business Development

Apply Now

Pomelo Care

Health Care Providers & Services

11-50

$41M raised

View All Jobs 23

Description

Define payer contracting strategy, including engagement, renegotiation, and expansion approaches.
Refine and communicate Pomelo’s value proposition to commercial health plans using evidence on cost savings, access, and outcomes.
Lead contract negotiations with health plans from sourcing through signature.
Structure agreements that balance growth, margins, and long-term payer partnerships.
Build and maintain senior-level relationships with payer executives.
Monitor regulatory, competitive, and reimbursement trends to inform strategy.
Partner with Operations, Finance, and Legal to evaluate deal economics and ensure effective pre- and post-signature handoffs.

Requirements

8+ years of experience in payer contracting, payer partnerships, network strategy, and/or business development.
Demonstrated success negotiating and closing contracts directly with health plans.
Strategic thinking skills with the ability to manage both market strategy and detailed term sheets.
Experience leading complex commercial negotiations with senior payer stakeholders.
Deep knowledge of payer economics, reimbursement models, and the commercial health plan landscape.
Excellent written and verbal communication skills, including executive-level, data-backed presentations.
Ability to operate effectively amid ambiguity in a fast-paced, high-growth startup.
Experience building strategies and processes from scratch.
Experience in virtual care or digital health.

Benefits

Base salary of $180,000–$200,000.
Variable compensation with expected on-target earnings of $240,000–$266,000.
Equity grant participation.
Health, dental, and vision coverage, including family coverage.
High-deductible health plans with HSA options and an FSA.
401(k) program.
Competitive vacation policy and 16 weeks of paid parental leave.
Fully remote work within the continental United States.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

SDR LATAM

Remote People 1-10 Professional Services

Remote People is hiring a Sales Development Representative to drive outbound prospecting and qualified pipeline generation for its HRTech platform across Latin America.

Latin America Full-time Junior Business Development

CRM HubSpot Salesforce

2 hours, 28 minutes ago

Apply

2 hours, 28 minutes ago

Market Engagement Representative

IVX Health 51-250 Health Care Providers & Services

IVX Health is seeking a Market Engagement Representative to research and qualify referral opportunities, support Business Development Managers, and strengthen market execution for its infusion and injection therapy services.