Director of Health Plan Business Development

Required Qualifications

• 5-7 years of experience in health plan partnerships, provider/network contracting, payer strategy, business development, or related healthcare roles, with a demonstrated track record working directly with health plans.
• Experience negotiating or working with delegated credentialing, roster-based provider onboarding, or other scalable health plan network models strongly preferred.
• Experience working with national health plans, Blue Cross Blue Shield plans, and/or Medicare Advantage networks preferred.
• Demonstrated track record of successfully prospecting, closing deals, and onboarding high value and high quality partners and/or affiliates.
• Deep understanding of health plan network strategy and operations, including provider contracting, reimbursement, credentialing, provider loading, delegated vs. non-delegated arrangements, claims and network adequacy.
• Knowledge of how to identify and classify top opportunities for growth and expansion.
• Strong negotiation skills and experience managing vendors and partners.
• Creative, entrepreneurial and enthusiastic deal closer who thrives in a startup environment and is able to pivot priorities quickly and balance multiple projects.
• Exceptional communication (oral and written), presentation, interpersonal and negotiation skills, as well as the ability to close deals and campaigns with partners on all levels.
• Ability to create strong rapport and build and foster long term impactful relationships.
• Diligent, thorough and uncompromising in respect to maintaining excellent partner relationships, brand safety and any legal compliance.
• 5-7 years of experience in health plan partnerships, provider/network contracting, payer strategy, business development, or related healthcare roles, with a demonstrated track record working directly with health plans.
• Experience negotiating or working with delegated credentialing, roster-based provider onboarding, or other scalable health plan network models strongly preferred.
• Experience working with national health plans, Blue Cross Blue Shield plans, and/or Medicare Advantage networks preferred.
• Demonstrated track record of successfully prospecting, closing deals, and onboarding high value and high quality partners and/or affiliates.
• Deep understanding of health plan network strategy and operations, including provider contracting, reimbursement, credentialing, provider loading, delegated vs. non-delegated arrangements, claims and network adequacy.
• Knowledge of how to identify and classify top opportunities for growth and expansion.
• Strong negotiation skills and experience managing vendors and partners.
• Creative, entrepreneurial and enthusiastic deal closer who thrives in a startup environment and is able to pivot priorities quickly and balance multiple projects.
• Exceptional communication (oral and written), presentation, interpersonal and negotiation skills, as well as the ability to close deals and campaigns with partners on all levels.
• Ability to create strong rapport and build and foster long term impactful relationships.
• Diligent, thorough and uncompromising in respect to maintaining excellent partner relationships, brand safety and any legal compliance.