Note: The job is a remote job and is open to candidates in USA. AbsoluteCare is a healthcare organization focused on payer partnerships, and they are seeking a Director of Payer Growth & Strategic Partnership. This role is responsible for accelerating growth across existing payer partnerships, identifying new opportunities, and optimizing contract performance through strong collaboration with health plan partners.
Responsibilities
- Participate in the development, support and execute annual payer-specific growth strategies with Market Presidents and the Chief Growth Officer
- Identify opportunities for market expansion, and membership growth across Medicaid, D-SNP, Medicare Advantage, HIV, SMI, CKD and other targeted populations where applicable
- Support strategic discussions regarding growth, quality, innovation and operational performance
- Participate in critical strategic initiatives focused on growth, innovation and operational excellence such as RFPs and other growth initiatives
- Develop and maintain trusted relationships within assigned payer partnerships, particularly with payer relations executives & other key stakeholders as assigned and serve as the primary coordination point between payer partners and operational teams
- Represent AbsoluteCare in executive meetings and industry forums alongside Market President and Chief Growth Officer to drive payer satisfaction, retention and engagement
- Support quarterly health plan Joint Operating Committee strategy, preparation and lead monthly payer executive operating reviews
- Anticipate payer needs, proactively identify relationship risks, and drive timely follow-up on issues that may affect payer satisfaction, contract performance, or growth opportunities
- Lead coordination and resolution of complex payer issues that affect service delivery, contract performance, operational execution, payer satisfaction, or strategic relationship health
- Ensure payer concerns are communicated to the appropriate internal leaders in a timely manner and that follow-up actions are tracked through completion
- Hold cross-functional stakeholders accountable for timely response, service recovery, issue resolution, and adherence to payer commitments
- Identify recurring payer concerns, root causes, and operational barriers, and recommend process improvements that strengthen payer satisfaction, retention, and growth
- Influence cross-functional teams without direct authority to ensure payer priorities, performance commitments, operational needs, and growth opportunities are advanced effectively
- Mentor and educate customer-facing and operational teams on payer priorities, relationship expectations, service standards, and partnership goals
- Maintain the security and privacy of all information owned by AbsoluteCare or maintained on behalf of the company’s patients, employees, and business partners
- Maintain expert knowledge of assigned payer contracts
- Monitor performance against contractual, quality, and SLA requirements and present updates to leadership
- Identify performance gaps and coordinate corrective action plans
- Support contract renewals, expansions, conversions and amendments
- Identify opportunities to increase contract value and revenue generation
- Monitor market dynamics and competitive intelligence
- Co-lead dashboard development and executive reporting
- Lead resolution of complex operational issues
- Support implementation and readiness for new contracts and markets
Skills
- Bachelor's degree in healthcare, business, public health, finance, marketing or related field
- 8–12+ years of healthcare leadership experience
- 5+ years in payer/provider partnerships, managed care, value-based care or business development
- Experience with Medicaid, Medicare Advantage and D-SNP populations
- 30% Travel required to assigned markets and/or customer on site meetings
- Master's degree in Business Administration (MBA), MHA or MPH preferred
Company Overview