Teal Health

Director, Payer Partnerships

1w ago

USADirectorRemotepayer contractingnetwork agreementsreimbursement modelsmember data accessactivationpayment model negotiation

Lead payer contracting and partnerships to establish in-network agreements and drive program activation for cervical cancer screening coverage.

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

Location: Remote - United States + Travel Employment Type: Full-time Department: Partnerships Reports to: VP, Commercial
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.
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