VP of Payer Strategy
2 нед. назад
Страна неизвестнаC-levelHybrid
strategypartnership buildingcontract negotiation
Lead and develop payer strategy and partnerships to support healthcare reimbursement models and business growth.
О компании
- Nabi is building the first AI-native health system to serve 100M patients with exceptional care in the next 10 years.
- We’re starting with eating disorders, where we’re building an agentic care model that empowers clinicians to deliver continuous, high-quality care. We’ve already served tens of thousands of members and raised over $10M from some of the leading VC firms in Silicon Valley.
Обязанности
- Own payer strategy: Develop and execute our national and regional payer strategy, including which payers, markets, lines of business, and reimbursement models we prioritize.
- Build payer partnerships: Develop senior relationships across health plans and turn them into long-term strategic partnerships.
- Expand and improve our contracts: Lead new payer contracting and renegotiations to expand network coverage, improve reimbursement, and diversify our payer mix.
- Build our payer value proposition: Translate our clinical model, patient outcomes, and technology into a differentiated and compelling story for health plans. Develop the data, materials, and business cases required to support it.
- Develop alternative payment models: Design and negotiate new reimbursement structures, including case rates, bundles, pay-for-performance, and other value-based arrangements.
- Own payer customer success: Build the operating cadence for existing payer relationships, including regular meetings, QBRs, performance reviews, and opportunities for expansion.
- Build the economic case: Partner with finance, clinical, and operations to model the unit economics and ROI of new payer arrangements.
- Build the function: Establish the processes, data, relationships, and eventually the team required to make payer partnerships a core capability of Nabi.
- Within your first 90 days, you will have developed and tested a differentiated payer-facing value proposition, established a clear contracting and renegotiation strategy, built relationships with priority payer stakeholders, meaningfully advanced conversations with 1–2 health plans, and established a strategy for managing and expanding our existing payer relationships.
- You will also have laid the groundwork for Nabi’s first alternative payment models and a payer strategy that meaningfully diversifies our revenue base.
Требования
- Deep experience working with or within commercial health plans, ideally across contracting, network strategy, payer partnerships, or value-based care
- Builder mentality: you are excited to create the payer function rather than inherit a mature organization and playbook
- High ownership: you move quickly, operate well in ambiguity, and personally drive important work across the finish line
- Crisp communicator: you can distill complex clinical, financial, and operational ideas into a compelling narrative for both payer executives and internal teams
- Deeply mission-aligned: you want to fundamentally improve how healthcare is delivered and paid for
Условия
- Competitive executive compensation
- Meaningful equity in an early-stage company
- Competitive healthcare, vision, and dental benefits
Другое
- Payers are critical to how we expand access to care and build a new model of healthcare delivery.
- We believe our care model creates the opportunity to move toward alternative payment models that better align reimbursement with outcomes and the full value of care we deliver.
- We’re looking for a VP of Payer Strategy to own this transition.
- You will own our payer strategy end-to-end: building relationships with health plans, expanding and improving our contracts, developing our payer-facing value proposition, and designing new reimbursement models.
- This is a highly strategic and highly executional role. You’ll work directly with the CEO and leadership team to build the payer function from the ground up.
- Experience negotiating case rates, bundled payments, shared savings, pay-for-performance, or other value-based arrangements
- Existing relationships with senior leaders at national and regional commercial health plans
- Experience building payer strategy at a high-growth healthcare company