Director, Payer Partnerships
WFA Digital Insight
Teal Health’s Director of Payer Partnerships sits at the intersection of clinical innovation and commercial strategy. The role isn’t just about getting a contract signed; it demands end‑to‑end ownership—from converting out‑of‑network plans to in‑network status, through to activating member data flows and aligning payment models with quality incentives. Candidates will work side‑by‑side with integration and customer‑success teams, meaning success hinges on both negotiation skill and operational execution. The position is built for someone comfortable in a fast‑moving Series A environment, where ambiguity is the norm and the payer channel is still being defined. Understanding both the financial mechanics of reimbursement and the practical steps of program rollout is essential before you even open the interview.
Job Description
Location
Remote - United States + Travel Employment Type: Full-time Department: Partnerships Reports to: VP, Commercial WHY WE ARE HIRING FOR THIS ROLE With commercial coverage for self-collected cervical cancer screening imminent, the opportunity to establish favorable in-network agreements is significant and immediate. Teal Health is looking for an experienced payer contracting leader to own our health plan channel end to end — winning in-network agreements at strong rates, then negotiating the activation, payment model, and program rollout that turn a covered benefit into screened members. WHAT YOU'LL DO - Win and execute in-network agreements — converting commercial plans from out-of-network to in-network, and bringing plans live under existing national agreements, through to signed paper and an agreed payment model - Drive activation across plans — securing member data access and outreach authorization, and aligning the plan's quality and HEDIS incentives with closing screening gaps - Work cross-functionally with integration and customer success teams on activation and post-launch account performance WHAT WE'RE LOOKING FOR REQUIRED - Proven payer contracting track record at a diagnostic or digital health company, taking out-of-network to in-network agreements through to signed - Regional Blues contracting experience, including plan-level work under national agreements - Fluency across reimbursement models (invoice, claims, PMPM, case rates) and the judgment to steer a plan toward the right one - Credible owning activation post-signature — including member data access and outreach authorization — not just closing paper - Thrives at a Series A company, motivated by ambiguity and a channel still being built - Willing to travel PREFERRED - Familiarity with care gap closure programs and HEDIS measure dynamics - Familiarity with Medicaid managed care (MCO) contractingHow to Stand Out
- Highlight specific payer contracts you’ve closed, noting the type of reimbursement model used.
- Prepare a short case study that walks through a contract from negotiation through activation, emphasizing data‑access challenges you solved.
- Demonstrate familiarity with HEDIS and care‑gap‑closure terminology in your cover letter or interview.
- Bring concrete examples of cross‑functional collaboration, especially with integration or customer‑success teams.
- Research Teal Health’s cervical‑screening platform beforehand so you can discuss how payer agreements will directly support product outcomes.
- Be ready to discuss how you manage ambiguity and prioritize tasks in a fast‑moving startup.
- When negotiating compensation, ask about equity structure and remote‑work stipend, as these are common components for Series A roles.
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