Director, Payer Partnerships
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At a glance
Job overview
Teal Health is hiring a Director, Payer Partnerships. Teal Health is seeking an experienced Director, Payer Partnerships to lead health plan contracting. This role involves securing in-network agreements, negotiating payment models, and driving program rollout to ensure covered benefits translate into screened members. The director will work cross-functionally to manage activation and post-launch account performance.
Key focus areas include Win and execute in-network agreements, converting commercial plans to in-network status, Bring plans live under existing national agreements through signed paper and agreed payment models, and Drive activation across plans, securing member data access and outreach authorization.
Successful candidates bring Travel Required. Important skills include Payer Contracting, Regional Blues Contracting, Reimbursement Models Fluency, Activation Post-Signature, Thrives At Series A Company, and Motivated By Ambiguity. Preferred (not required): Care Gap Closure Programs, HEDIS Measure Dynamics, and Medicaid Managed Care Contracting.
Skills & qualifications
Skills
Qualifications
Full 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
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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
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Drive activation across plans — securing member data access and outreach authorization, and aligning the plan's quality and HEDIS incentives with closing screening gaps
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Work cross-functionally with integration and customer success teams on activation and post-launch account performance
What We're Looking For Required
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Proven payer contracting track record at a diagnostic or digital health company, taking out-of-network to in-network agreements through to signed
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Regional Blues contracting experience, including plan-level work under national agreements
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Fluency across reimbursement models (invoice, claims, PMPM, case rates) and the judgment to steer a plan toward the right one
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Credible owning activation post-signature — including member data access and outreach authorization — not just closing paper
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Thrives at a Series A company, motivated by ambiguity and a channel still being built
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Willing to travel
Preferred
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Familiarity with care gap closure programs and HEDIS measure dynamics
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Familiarity with Medicaid managed care (MCO) contracting
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