Director, Payer Partnerships

Teal Health, Inc

$130K — $180K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of payer contracting experience in diagnostic or digital health
  • Experience converting out-of-network to in-network agreements
  • Knowledge of regional Blues contracts and national agreements
  • Understanding of various reimbursement models (invoice, claims, PMPM, case rates)
  • Demonstrated success in managing post-signature activations
  • Experience navigating ambiguity in fast-paced startup environments

Responsibilities

  • Win and execute in-network agreements for commercial plans
  • Drive activation by securing member data access and outreach consent
  • Align quality and HEDIS incentives to address screening gaps
  • Collaborate with integration and customer success teams for effective post-launch performance
  • Develop strong relationships with health plan stakeholders to enhance program rollout

Benefits

  • Hybrid work flexibility with on-site opportunities in San Francisco
  • Dynamic work environment with direct impact on health outcomes
  • Opportunities for professional growth in a transformative health sector
  • Involvement in developing innovative screening solutions
  • Collaboration with cross-functional teams and leadership in a startup.
Full Job Description
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.

What You'll Do
  • 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


What We're Looking For
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

Similar Jobs

More Jobs at Teal Health, Inc

More Healthcare Jobs

Find similar Director, Payer Partnerships jobs: