Senior Manager of Health Plan Partnerships

Summary

Join Hazel Health, a leading virtual provider of school-based healthcare, as their Senior Manager of Health Plan Partnerships. This remote role will operationalize Hazel’s health plan contract strategy to drive sustainable revenue growth. You will lead payer contract negotiations, expand Hazel’s health plan footprint, and implement systematic approaches to managing health plan relationships. The position also involves building and leading a high-performing team, operationalizing scalable processes, and driving cross-functional collaboration. You will need deep expertise in healthcare reimbursement models and proven experience in building and scaling health plan partnerships. This role offers a competitive salary, bonus, 401k match, healthcare coverage, paid time off, stock options, and other benefits.

Requirements

• Strategic, results-driven leader with 6+ years of experience in payer strategy, contracting, and business development within healthcare, including at a small company or startup
• Proven ability to build and scale health plan partnerships that drive measurable revenue growth
• Deep expertise in healthcare reimbursement models, including experience with fee-for-service, value-based care, Medicaid and Commercial/Commercial Exchange health plan contracting
• Strong negotiation and relationship management skills, with a track record of securing favorable payer contracts and managing executive-level engagements
• Experience leading high-performing teams with a focus on coaching, development, and accountability
• Highly analytical and data-driven, able to assess market dynamics, forecast revenue impact, and drive strategic decision-making, with experience working cross-functionally with tech teams
• Excellent communication skills, capable of translating complex healthcare and financial concepts into clear, compelling narratives for stakeholders
• Mission-driven mindset, passionate about improving access to healthcare for children and advancing health equity

Responsibilities

• Execute Hazel’s national health plan strategy, ensuring Hazel is in-network across all key payers in 20+ states and expanding partnerships that align with the company’s growth goals
• Lead payer contract negotiations, ensuring comprehensive network contracting with Medicaid and commercial plans, competitive reimbursement rates, and favorable terms to strengthen Hazel’s financial sustainability
• Assess and expand Hazel’s health plan footprint, identifying coverage gaps by state and securing network agreements to drive revenue growth
• Implement a systematic approach to managing health plan relationships, ensuring contracts are monitored, optimized, and renegotiated effectively
• Operationalize delegated credentialing capabilities, streamlining provider enrollment to accelerate speed-to-revenue
• Implement new contracting constructs, including VBC models, positioning Hazel for long-term success in innovative payment arrangements
• Demonstrated experience with alternative payment models (APMs), fee schedule/reimbursement analysis, and state Medicaid reimbursement/program execution to optimize revenue and network value
• Cultivate and manage relationships with key contacts within assigned national and regional health plans, ensuring clear communication and collaborative problem-solving
• Support Hazel's market leadership in pediatric school-centered healthcare by identifying and supporting opportunities for thought leadership, conference presentations, and strategic partnerships
• Refine and execute Hazel's health plan value proposition, ensuring consistent and impactful communication by the team
• Analyze market trends, competitive intelligence, and regulatory changes to inform and adapt Hazel’s payer strategy and market positioning
• Build and lead a high-performing Health Plan Partnerships team, including recruitment, talent development, and performance management
• Operationalize repeatable, scalable processes and systems that streamline payer engagement, provider enrollment, and claims management, reducing barriers to revenue realization
• Implement robust reporting and analytical frameworks to track contract performance, network penetration, and financial impact, ensuring data-driven decision-making and continuous optimization
• Drive cross-functional collaboration, working closely with sales, finance, clinical, and policy teams to optimize billing, credentialing, and reimbursement workflows and align health plan strategy with Hazel’s broader business objectives

Benefits

• Base salary range of $150,000 - $180,000
• An annual bonus up to $15,000
• A 401k match
• Healthcare coverage
• Paid time off
• Stock options