Director, Payer Partnerships

Job description

Location: Remote - United States + Travel 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 - Willing to travel PREFERRED - Familiarity with care gap closure programs and HEDIS measure dynamics - Familiarity with Medicaid managed care (MCO) contracting