Commercial Strategy Senior Manager

Grow Therapy

$134K — $215K *
US-AnywhereRemote in New York City, NY
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3-7 years in strategy consulting, corporate development, or high-growth strategy role.
  • Proven problem-solving skills and structured thinking approach.
  • Ability to maintain and grow relationships with senior executives.
  • Strong performance track record in complex, ambiguous situations.
  • Experience in building and executing strategies rather than just following established plans.

Responsibilities

  • Develop tailored strategies for each health plan to drive behavioral health initiatives.
  • Design unique solutions including innovative deal terms and clinical programs.
  • Create analytical models to validate partnership opportunities and financial assumptions.
  • Collaborate with leadership and cross-functional teams to support partnership execution.
  • Lead negotiations on commercial deal structures with health plan executives.
  • Nurture long-term relationships with key decision-makers at health plans.
  • Monitor partnership performance post-launch and adapt strategies based on insights.

Benefits

  • Comprehensive health insurance including medical, dental, and vision.
  • Access to therapy through the Grow platform at no cost.
  • Retirement savings programs and equity opportunities.
  • Flexible time off, paid holidays, and a dedicated Winter Break.
  • Up to 18 weeks of paid parental leave and stipends for new parents.
  • Weekly mental health dedicated time for self-care activities.
  • Annual stipend for wellness and professional development.
  • Support for home office setup and meal benefits for remote workers.
  • Additional perks such as wellness memberships and pet insurance discounts.
Full Job Description
The Opportunity

Grow Therapy works with most of the largest health plans in the country. As those relationships have matured, the interesting question has shifted from whether a plan works with us to what we should build together, and there is no standard answer to that question.

This role owns a focused set of key relationships end to end. You decide what should be built with each plan, design the structure that delivers it, negotiate it, and stay with it once it is live.

The work runs on a multi-year horizon. You will spend real time with health plans' senior executives, enough that they bring you problems before they have decided what to do about them.

You will work closely with our Director, Payor Strategy and our VP, Corporate and Business Development on a team small enough that each person carries a meaningful share of the company's strategy and influence to drive it.

What You'll Be Doing

Deciding what to build
  • Develop a point of view on each health plan you cover: where their behavioral health strategy is heading, what is not working, who owns the problem internally, and what would need to be true for them to commit to something ambitious.
  • Design the solution from first principles including economics, complex deal terms, directed volume, integrated referral pathways, co-developed clinical programs, risk-sharing. The right combination differs by plan, and in most cases it does not exist anywhere in the market.
  • Build the analytical case. Size the opportunity, model the economics, test the assumptions, and produce work that holds up to a health plan's strategy and finance teams.
  • Coordinate with Grow's leadership. Work closely with our co-founders, operations, product, engineering, and finance to assist in the build, negotiation, and execution of the partnership.

Structuring and landing it
  • Lead the commercial structuring, including rate design, exclusivity mechanics, volume commitments, and performance economics, in direct conversation with health plan executives.
  • Build the relationships that make ambitious structures possible. Agreements of this scope are approved by a small number of senior people at each plan, and reaching them takes sustained time and credibility.
  • Bring Grow's operations, product, clinical, and finance teams into what you are designing, making the trade-offs required to turn a novel structure into something we can deliver.

Owning what it produces
  • Stay with the partnership after launch. Track how it is performing, work out why/when it is not, and use your relationships with health plan leaders to adjust the structure.
  • Apply what you learn in-market to the next structure, both with that plan and with the others you cover.
  • Feed what you learn back into Grow's product roadmap and long-range planning.

You'll Be a Good Fit If
  • You have three to seven years of experience in strategy consulting, corporate development, private equity, venture capital, or a strategy function at a high-growth company, with a record of strong performance.
  • You are comfortable with problems that have no established approach, and you tend to spend real time on how a problem is structured before solving it.
  • You want to see your work through. Designing the structure is the interesting part, and you also care about how it performs once it is in-market.
  • You can hold your own with senior external executives and build long-term relationships with them. You lead with the answer, and you build arguments that work on sophisticated audiences.
  • You think through second-order effects, including how a proposal lands across a health plan's network, actuarial, and clinical teams, and what it commits Grow to operationally.
  • You build the plan rather than asking for one.
  • Healthcare experience is helpful but not required.

Employment Type: Full Time, Exempt
Base Compensation: The base compensation range for this position is

Hybrid Commitment:$161,000-$215,000 USD Annually

Fully Remote Commitment: $134,000-$179,167 USD Annually

This role can be hybrid (onsite from our NYC, San Francisco, or Seattle hub location three days per week: Tuesday, Wednesday, Thursday) or fully remote. Both arrangements include travel 2-3 times per year (e.g., company and department offsites).
The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.

Full Time Employee Benefits:
  • Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.
  • Grow for Grow: No cost access to therapy through the Grow platform (available to US employees)
  • Financial Wellness: Retirement savings programs and equity opportunities to help you invest in your future.
  • Flexible Time Off, Paid Holidays & Winter Break: Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge
  • Parental Leave: Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.
  • Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.
  • Wellness & Development Stipend: Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.
  • Commuter Benefits: Pre tax commuter benefits to support teammates working from one of our hub locations.
  • Home Office & Meals: Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees.
  • Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.


Research shows that some groups hesitate to apply unless they meet every qualification. If you're excited about this role but don't check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.

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