Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Target Resume Now
About the Role
Teal Health is seeking an experienced payer contracting leader to establish and manage health plan channel agreements, focusing on securing favorable in-network contracts, negotiating activation and payment models, and driving member screenings.
Responsibilities
- Win and execute in-network agreements, converting commercial plans from out-of-network to in-network.
- Bring plans live under existing national agreements, finalizing signed contracts and agreed payment models.
- Drive activation across plans by securing member data access and outreach authorization.
- Align plan quality and HEDIS incentives with closing screening gaps.
- Collaborate with integration and customer success teams on activation and post-launch account performance.
Requirements
- Proven payer contracting track record at a diagnostic or digital health company, successfully converting out-of-network to in-network agreements.
- Experience with Regional Blues contracting, including plan-level work under national agreements.
- Fluency across reimbursement models (invoice, claims, PMPM, case rates) and the ability to guide plans toward the optimal model.
- Demonstrated ability to own activation post-signature, including member data access and outreach authorization.
- Experience thriving in a Series A company environment, comfortable with ambiguity and building a new channel.
Skills
- Payer contracting
- Health plan agreements
- In-network contracting
- Reimbursement models
- Activation strategies
- Cross-functional collaboration
- Care gap closure programs
- HEDIS measures
- Medicaid managed care contracting
Location
- United States
- Hybrid/On-site in San Francisco
Work Type
- Full-time
- Hybrid
- On-site
Experience Level
- Experienced payer contracting leader
- Series A company experience
About the Company
- Teal Health is positioned to capitalize on the imminent commercial coverage for self-collected cervical cancer screening.