Head of Commercial Payer Market Development
Core
Own growth of coverage for core DME breast pump business and expansion into new classes/services (insurance-covered classes, lactation, doula care) by negotiating contracts with commercial payers and building strategic partnerships.
Role type
Head of Commercial Payer Market Development
Builds
In-network access and contracts for DME breast pumps, insurance-covered classes, lactation, and doula care services
Domain
Healthcare / Insurance Payer Market Development
Deliverable
client delivery
Required skills
Payer contracting, strategic partnership building, insurance landscape knowledge, relationship management with national/regional payers, contract negotiation, market strategy development
Preferred skills
DME space experience, commercial insurance payer background, OB GYN provider relationships
Technologies
None stated
Responsibilities
Develop and execute plans to gain direct in-network access to major national and local payers; Negotiate and manage contracts with insurance payers; Build strategic partnerships with payers, health systems, and OB GYN providers; Partner with payer operations to onboard patients; Develop understanding of payer landscape trends and competitive offerings; Provide strategic recommendations on additional products and services
Seniority
Senior, hands-on IC with strategic leadership
