Lead Director, Payer Relations
Core
Leading strategic relationships and contract negotiations with pharmacy benefit managers (PBMs), health plans, insurance carriers, and Medicaid programs to drive financial performance and network positioning.
Role type
Senior IC payer relations director
Builds
Payer contracts and strategic partnerships
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Payer contracting, financial accountability, executive stakeholder engagement, portfolio management, strategic negotiation, commercial strategy
Preferred skills
National PBM negotiation, Medicare Part D/Medicaid reimbursement models, team leadership, negotiation framework design, advanced degree (MBA/PharmD/JD)
Technologies
None stated
Responsibilities
Lead contract negotiations for assigned payer portfolio, develop negotiation strategies for financial and market-share objectives, monitor portfolio performance and profitability, build executive relationships with payer organizations, coach and develop team members
Seniority
Director, strategic leadership & mentorship
