# Director of Payer Contracting

**Company**: Pomelo Care
**Location**: United States
**Work arrangement**: remote
**Experience**: executive
**Job type**: full-time
**Salary**: $180,000-$200,000
**Category**: Operations
**Industry**: Healthcare

**Apply**: https://job-boards.greenhouse.io/pomelocare/jobs/6175847004?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_5fd24011-cc5

## Description

We are looking for a Director of Payer Contracting to drive market expansion for our Midlife line of business. In this role, you will define our health plan engagement strategy and lead end-to-end contracting from sourcing through signature.

Responsibilities:

- Define payer contracting strategy, including approach to engagement, (re)negotiation & expansion

- Refine & share Pomelo's value proposition with commercial health plans, grounded in cost savings, access, and outcomes associated with the (peri)menopause episode of care

- Lead payer contract negotiations directly with health plans from sourcing through signature, structuring deals that balance growth, margin, and long-term partnership

- Build and maintain trusted, senior-level relationships with payer executives who can champion Pomelo internally

- Track the regulatory, competitive, and reimbursement landscape to keep strategy current

- Partner closely with Operations, Finance & Legal teams to pressure-test deal economics and ensure smooth handoffs before & after deals are signed

Requirements:

- 8+ years of experience in payer contracting, payer partnerships, network strategy, and/or business development, with a track record of negotiating and closing contracts directly with health plans

- Strategic thinker who can move fluidly between big-picture market strategy and the granular term sheet details

- Skilled, confident negotiator who has led complex commercial negotiations with senior payer stakeholders

- Deep familiarity with payer economics, reimbursement models, and the commercial health plan landscape

- Excellent written and verbal communication skills, with the ability to build a compelling, data-backed narrative and deliver it persuasively to executive audiences

- Comfortable operating with significant ambiguity in a fast-paced, high-growth startup environment, and able to build a strategy and process from scratch

- Experience in virtual care / digital health

Benefits and Perks:

- Comprehensive Health, Dental, and Vision coverage for employees and their families

- High deductible Health Plans with Health Savings Account (HSA) options

- Flexible Spending Account (FSA)

- Equity grant participation

- 401(k) program

- Competitive vacation policy

- 16 weeks paid parental leave

- Fully remote work flexibility (within the US)

Compensation: The expected base salary range for this role is $180,000-$200,000. This role is also eligible for variable compensation, with expected on-target earnings of $240,000-$266,000, and equity, giving you an ownership stake in Pomelo’s mission.

## Skills

### Required
- payer contracting
- health plan engagement
- commercial negotiations
- payer economics
- reimbursement models

### Nice to have
- virtual care
- digital health

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Source: [Apply at job-boards.greenhouse.io](https://job-boards.greenhouse.io/pomelocare/jobs/6175847004?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)