Director of Payer Contracting

8 hours, 17 minutes ago
Full-time
Executive
Sales and Business Development
Pomelo Care

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
11-50
$41M raised

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

Sr. Business Development Representative - Strategic

Signifyd 251-1K IT Services

Signifyd is hiring a remote Senior Business Development Representative to create and advance strategic pipeline for high-tier North American e-commerce merchants seeking fraud protection and revenue growth.

CRM E-commerce Machine Learning Salesforce
7 hours, 47 minutes ago

Commercial Business Development Representative

Chainguard 51-250 Internet Software & Services

Chainguard is hiring a Business Development Representative to prospect and qualify cybersecurity leads, schedule sales meetings, and help drive revenue growth in a remote-first environment.

Cybersecurity Salesforce
7 hours, 47 minutes ago

Business Development Representative

SecurityScorecard 251-1K IT Services

SecurityScorecard is hiring a Business Development Associate to generate sales opportunities for its cybersecurity ratings platform by identifying prospects, engaging decision-makers, and booking qualified meetings in partnership with sales teams.

Cybersecurity Email Marketing Salesforce
7 hours, 47 minutes ago

Sales Development Representative

Deputy 251-1K Professional Services

Deputy is seeking a Sales Development Representative to build outbound and inbound pipelines for Account Executives serving SMB and mid-market customers across the Americas.

Salesforce
8 hours, 32 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers