AnewHealth
Senior Director, Strategic Payer Relations
US - Remote · Director · Full-time
Work authorization requiredDetected 30 days ago
CadenceLeadershipCommunicationCollaborationMentoring
About the role
- AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home.
- With over 1,400 team members, we care for more than 100,000 people across all 50 states.
- Job Details The Senior Director, Strategic Payer Relations is a senior leader responsible for managing and advancing strategic relationships with assigned payer organizations.
Responsibilities
- Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents.
- Lead master account planning for assigned portfolio and conduct payer quarterly business reviews
- Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies.
- Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy.
- 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.
- Maintain accurate documentation of payer interactions, priorities, and outcomes.
- Function Development Support
- Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands.
Requirements
- Proven ability to operate effectively in complex, matrixed organizations.
- Prepare executive-level summaries, updates, and recommendations for senior leadership as required.
- Bachelor's degree required; advanced degree preferred.
- Required Qualifications
- 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.
- Strong executive communication skills, both written and verbal.
Nice to have
- Experience supporting payer strategies across national and/or regional payers.
- Ability to synthesize complex information into clear executive-level insights.
- Key Competencies
- Executive presence and credibility with external stakeholders
- Strategic thinking and disciplined execution
- Strong collaboration and influence without direct authority
- Analytical mindset with a focus on outcomes
- Comfort operating in evolving and ambiguous environments
Benefits
- Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives.
- Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships.
- Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution.
Apply directly at AnewHealth →Create a free account for alerts like thisView AnewHealth immigration profile
This listing is sourced directly from AnewHealth's careers page and normalized into a canonical job model.