ExactCare

A national medication management and long-term pharmacy provider for people with complex, chronic needs

Senior Director, Strategic Payer Relations

Full TimeRemoteTeam 501-1,000Since 2009H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

21 days ago

Salary

Not specified

Bachelor Degree10 yrs expEnglish

Job Description

• Senior leader responsible for managing and advancing strategic relationships with assigned payer organizations • Serve as the primary relationship owner for designated payers • Engage routinely with executives and represent the organization in discussions related to network participation and reimbursement models • Collaborate with internal teams to ensure coordinated execution of payer strategies

Job Requirements

  • Bachelor’s degree required; advanced degree preferred
  • 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations
  • Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP)
  • Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics
  • Proven ability to operate effectively in complex, matrixed organizations
  • Strong executive communication skills, both written and verbal
  • Experience supporting payer strategies across national and/or regional payers
  • Background working closely with contracting, clinical, pharmacy, or reimbursement-focused teams
  • Experience contributing to new function or capability development within a healthcare organization
  • Ability to synthesize complex information into clear executive-level insights

Benefits

  • medical/dental/vision
  • flexible spending
  • company-paid life insurance
  • short-term disability
  • voluntary benefits
  • 401(k)
  • Paid Time Off
  • paid holidays

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