4-6 years of experience in go-to-market (GTM) strategy with health insurance payers
Proven ability to lead senior-level, complex stakeholder conversations
High ambition with a focus on building impactful initiatives
Comfortable operating in unstructured, high-accountability environments
Strong systems thinking skills with a knack for creating repeatable processes
Preference for experimentation and quick pivots over rigid checklists
Responsibilities
Lead payer contracting and reimbursement negotiations across commercial and government payers
Enhance fee schedules, contract terms, and network positioning for Alpaca Health
Create and manage referral pathway partnerships with health insurance payers
Collaborate with operations, credentialing, clinical quality, and product teams to enhance payer readiness
Support value-based care initiatives including outcomes tracking and quality measurement
Position Alpaca as the preferred independent-provider network for autism care
Develop internal systems for contract tracking and market launch readiness
Benefits
Direct exposure to company-building at an early stage
Ownership of critical initiatives from day one
Opportunity to make a meaningful impact on families and clinicians
Fast learning curve seldom matched in other roles
Strong compensation package including equity, health benefits, and flexible PTO
Full Job Description
Role: Head of Payer Partnerships
We are hiring a Head of Payer Partnerships to expand and strengthen Alpaca Health's payer ecosystem.
This role sits at the intersection of healthcare strategy, contracting, operations, and market expansion. You will help independent autism therapy practices access better reimbursement, faster growth, and stronger payer relationships through Alpaca's platform.
You will own the strategic relationships and operational systems that power payer access across the country, from negotiating rates and opening new markets to building referral pathways and laying the groundwork for value-based care models.
🚧 What You'll Do
Lead payer contracting and reimbursement negotiations across commercial and, where possible, government payers
Improve fee schedules, contract terms, and network positioning for Alpaca Health and partner practices
Create and operationalize referral pathway partnerships with health insurance payers
Partner closely with operations, credentialing, clinical quality, and product teams to improve payer readiness and network performance
Support long-term value-based care initiatives, including outcomes tracking, quality measurement, and payer reporting infrastructure
Help position Alpaca as the preferred independent-provider network for autism care
Build repeatable internal systems for contract tracking, payer communications, escalation management, and market launch readiness
Work cross-functionally with leadership on expansion strategy, payer mix optimization, and network strategy
Who You Are
You have 4-6 years of experience, with a GTM experience with health insurance payers
You have experience leading senior-level, complex stakeholder conversations and can represent the company externally
You are extremely ambitious and want to build something meaningful at high velocity.
You thrive in environments with little structure and high accountability.
You are a systems thinker who instinctively turns chaos into repeatable processes.
You value the ability to experiment quickly and pivot as needed, over executing pre-defined checklists.
Why Join
Direct exposure to company-building at an early stage.
Real ownership of critical initiatives from day one.
The opportunity to materially impact families and clinicians.
A fast learning curve that few roles can match.
Strong compensation package
💵 Competitive salary Meaningful equity Health benefits Flexible PTO Dinner when working late
