Senior Manager, Payer Strategy

About Paytient:

We're on a mission to help people better access and afford care.

Every day, millions of people, and their loved ones, need to see a doctor. For most of us, that moment is an uncertain one - we're unsure of what's wrong, who to go to, how long it'll take to be seen, when we'll feel better, and what it'll cost.

Paytient partners with thoughtful employers and health plans who understand the impact of that moment and want to ensure that every one of their plan members are easily able to access and afford care. Our clients understand that an improved ability to self-pay for care changes patient behavior and creates value for the health plan. This founding belief is becoming an emerging standard of care in health plan design and is now, in fact, a mandatory capability in some governmental health plans. Founded in 2018, Paytient is now part of nearly 6,000 employer health plans and providing certainty that people are better able to access and afford care.

We're looking for passionate, collaborative builders to join our team and help us create a future where everyone can more easily access and afford care.

We are seeking a highly skilled and strategic Senior Manager of our Payor Strategy to oversee the management of our most critical enterprise partnerships. The ideal candidate will have an understanding of healthcare regulations, excellent stakeholder management skills, and the ability to drive both operational performance and long-term strategic alignment with our partners. This role will be responsible for ensuring the overall success of these partnerships by overseeing performance metrics, and driving innovation in collaboration with our partners.

Key Responsibilities:

Strategic Oversight:

• Develop and maintain a strategic plan for enterprise payer relationships, aligning them with the overall business goals and long-term strategy.
• Ensure partnerships are optimized for growth, innovation, and continued value for both the payer and the company.
• Lead quarterly business reviews (QBRs) to assess overall partnership performance and make key decisions regarding future strategy and address renewal process
  
  

Performance Management:

• Oversee the performance of key metrics, ensuring that SLAs and KPIs are consistently met or exceeded.
• Analyze data to identify trends, risks, and opportunities, and use this information to inform strategic decisions.
• Work closely with the operational teams to ensure performance improvement initiatives are effectively implemented.
  
  

Stakeholder Engagement:

• Act as the primary point of contact for senior executives at both the partner organization and internally within the company.
• Facilitate effective communication between cross-functional teams (operations, IT, compliance, finance, etc.) to ensure alignment at the strategic level.
• Manage escalation of complex issues that impact the overall partnership or long-term business goals.
  
  

Compliance & Risk Management:

• Ensure that all partnerships are in full compliance with healthcare regulations and other relevant guidelines.
• Conduct regular risk assessments, addressing any compliance risks and leading efforts to mitigate them.
• Collaborate with legal and compliance teams to ensure all contractual agreements, including BAAs, are up to date and aligned with regulatory requirements.
  
  

Financial Accountability:

• Oversee the financial aspects of the partnership, including budgeting, cost control, and investment in new technologies or processes.
• Work with finance teams to ensure financial performance is monitored, and cost-sharing or revenue targets are met.
• Lead negotiations for contract renewals, amendments, and other financial agreements.
  
  

Leadership & Team Management:

• Lead the overall governance of the partnership, including weekly and monthly meetings, to maintain performance and relationship health.
• Foster a collaborative, results-driven culture both within the internal team and across the partner organization.
  
  

Marketing & Organic Growth:

• Coordinate with marketing team to drive engagement with members to drive value for the payer
• Coordinate with marketing to develop any necessary sales collateral or resources for the payer sales team to help organic growth
  
  

Skills:

• Exceptional leadership and stakeholder management skills, with the ability to engage senior executives and cross-functional teams.
• Strong analytical skills, with the ability to leverage data to drive performance improvements and strategic decisions.
• Excellent problem-solving abilities, particularly in complex, high-stakes situations involving compliance, financial, or operational risks.
• Financial acumen, with experience in budget management, cost control, and contract negotiations.
  
  

Benefits We Offer:

• Medical, dental and vision insurance
• $4,300 annual HSA contribution
• Paytient Health Payment Account (HPA)
• Monthly lifestyle spending stipend
• 33 days of annual PTO
• 401k plan access with a 4% employer match
• Up to 16 weeks of fully-paid parental leave
• Stock options in Paytient
• ...and more!
  
  

Paytient is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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