Director of Payer Relations – Health Plans & Insurers
Location:
Remote / U.S. preferred
Type:
Full-time | Strategic
About the Role:
You will lead Careverse™'s partnerships with public and private payers — from national insurers to regional health plans. Your role will be to unlock value through integration, reimbursement innovation, and scalable patient access programs. Interested in this role? Contact the Careverse team at https://careverse.us/contact-us to confirm recruitment status, location, employment terms, and application instructions. Mention the role title and share a professional introduction. Do not include sensitive personal or health information.
Responsibilities:
- Build and manage strategic relationships with health plans, MCOs, TPAs, and reinsurers.
- Negotiate value-based reimbursement models and digital care bundles.
- Support product alignment for payer-facing workflows and data exchange (e.g. claims, eligibility).
- Partner with regulatory and clinical teams to ensure payer readiness and compliance.
Requirements:
- 5–8+ years in payer engagement, value-based contracting, or plan innovation.
- Deep knowledge of commercial and government health plan structures.
- Experience in digital health, RPM, or AI-powered care a strong plus.
- Strong negotiation and cross-functional collaboration skills
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