Senior Director, Strategic Payer Relations

The Senior Director, Strategic Payer Relations at AnewHealth is a senior leadership role responsible for managing strategic relationships with payer organizations, focusing on payer access, retention, reimbursement, and relationship health. The role involves engaging with high-level payer stakeholders and collaborating with internal teams to optimize payer strategies and financial outcomes.

Location: Remote (US)

Responsibilities

• Serve as the primary relationship owner for a defined portfolio of strategic payer organizations.
• Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents.
• Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives.
• Ensure consistent, coordinated communication and positioning across all payer interactions.
• Lead master account planning for assigned portfolio and conduct payer quarterly business reviews.
• Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships.
• Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies.
• Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution.
• Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy.
• Align payer engagement activities with enterprise priorities, regulatory considerations, and contracting strategies.
• Support internal readiness for payer discussions by coordinating data, insights, and materials as needed.
• Support governance processes related to payer engagement, escalation, and decision-making.
• Prepare executive-level summaries, updates, and recommendations for senior leadership as required.
• Ensure disciplined follow-through on commitments made to and by payer organizations.
• Maintain accurate documentation of payer interactions, priorities, and outcomes.
• Contribute to the development of scalable processes, tools, and best practices for the evolving Strategic Payer Relations function.
• Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands.
• Assist the Vice President, Strategic Payer Relations, in shaping role clarity, engagement models, and operating cadence during the function formation phase.

Requirements

• Bachelor’s degree required; advanced degree preferred.
• 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations.
• Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP).
• Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics.
• Proven ability to operate effectively in complex, matrixed organizations.
• Strong executive communication skills, both written and verbal.

Benefits

• Comprehensive benefit package including medical/dental/vision, flexible spending, company-paid life insurance and short-term disability, voluntary benefits, 401(k), Paid Time Off, and paid holidays.

Additional Information

• AnewHealth offers a comprehensive benefit package for full-time employees.
• AnewHealth provides equal employment opportunity to all qualified applicants.
• Applicants are encouraged to confidentially self-identify when applying.
• Local applicants are encouraged to apply.
• The company maintains a drug-free work environment.
• Applicants must be eligible to work in the country.