Director of Payer Contracting

Pomelo Care

23h • $180,000 - $200,000 • Remote

About The Position

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.

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

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

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)

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed