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Director of Payer Contracting

Pomelo Care Vereinigte Staaten ; Vereinigte Staaten (ganzes Land)
Arbeitsvertrag Remote-Arbeit

Veröffentlichungsdatum: 31.08.2026

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. Partnering closely with senior payer executives and internal teams, you will leverage deep commercial payer expertise to structure high-impact deals that expand access, optimize margins, and accelerate enterprise growth. This role reports to the EVP of Commercial Partnerships and can be located anywhere in the continental US.

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 signer

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

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).; Eligible for variable compensation
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