Director, Payer Partnerships

Responsibilities

• Win and execute in-network agreements - converting commercial plans from out-of-network to in-network, and bringing plans live under existing national agreements, through to signed paper and an agreed payment model
• Drive activation across plans - securing member data access and outreach authorization, and aligning the plan's quality and HEDIS incentives with closing screening gaps
• Work cross-functionally with integration and customer success teams on activation and post-launch account performance

Requirements

• Required
• Proven payer contracting track record at a diagnostic or digital health company, taking out-of-network to in-network agreements through to signed
• Regional Blues contracting experience, including plan-level work under national agreements
• Fluency across reimbursement models (invoice, claims, PMPM, case rates) and the judgment to steer a plan toward the right one
• Credible owning activation post-signature - including member data access and outreach authorization - not just closing paper
• Thrives at a Series A company, motivated by ambiguity and a channel still being built
• Preferred
• Familiarity with care gap closure programs and HEDIS measure dynamics
• Familiarity with Medicaid managed care (MCO) contracting

Benefits

Additional Information

Location: United States - Hybrid/On-site in San Francisco Employment Type: Full-time Department: Partnerships Reports to: VP, Commercial Why We Are Hiring For This Role With commercial coverage for self-collected cervical cancer screening imminent, the opportunity to establish favorable in-network agreements is significant and immediate. Teal Health is looking for an experienced payer contracting leader to own our health plan channel end to end - winning in-network agreements at strong rates, then negotiating the activation, payment model, and program rollout that turn a covered benefit into screened members.

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