Lead Director, Payer Relations

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Lead Director, Payer Relations is responsible for leading strategic relationships and contract negotiations with pharmacy benefit managers (PBMs), health plans, insurance carriers, Medicaid programs, and other payer organisations.

What You'll Gain

• Opportunity to influence enterprise-wide payer strategy and financial outcomes
• Exposure to senior healthcare executives and industry-leading payer organisations
• Ability to mentor and develop future payer relations leaders

Roles & Responsibilities

• Lead contract negotiations and manage an assigned portfolio of payer relationships, ensuring favourable rates, terms, and business outcomes.
• Develop and execute negotiation strategies that support financial, operational, and market-share objectives.
• Monitor portfolio performance, identify risks and opportunities, and recommend actions to improve profitability and growth.
• Build and maintain executive-level relationships with payer organisations and collaborate with internal partners across Finance, Legal, Operations, Analytics, and Government Affairs.
• Coach and develop team members while contributing to negotiation best practices, talent development, and organisational capability building.

Travel: Up to 25% travel required.

Location: Fully remote candidates based in the U.S. will be considered.

Required Qualifications

• 10+ years of experience in payer relations, pharmacy benefit management, retail pharmacy, healthcare contracting, or a related healthcare field.
• 5+ years of experience negotiating contracts and managing associated financial terms and performance outcomes.
• Demonstrated experience managing a portfolio, book of business, or commercial relationships with accountability for revenue, profitability, or market share results.
• Experience presenting, negotiating, and influencing executive-level stakeholders.
• Strong analytical and strategic problem-solving skills with the ability to evaluate complex business and financial scenarios.

Preferred Qualifications

• Experience negotiating directly with national PBMs, health plans, or large healthcare payers.
• Knowledge of Medicare Part D, Medicaid, and commercial pharmacy network reimbursement models.
• Experience leading, coaching, or developing contract negotiators or payer relations professionals.
• Experience creating negotiation frameworks, governance processes, or contracting best practices.
• Advanced degree such as MBA, PharmD, JD, or related graduate-level education.

Education

• Bachelor's degree required, or equivalent combination of education and relevant work experience.
• Master's degree preferred.

Pay Range The typical pay range for this role is: $100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

Benefits This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.