Director, Payer Partnerships

Boulder Care

1d • $160,000 - $180,000 • Remote

About The Position

Boulder Care is seeking a Director of Payer Partnerships to lead their expansion into value-based behavioral health care. This role involves managing the full sales cycle for new payer partnerships and transitioning existing fee-for-service relationships to value-based care contracts. The position is crucial for expanding access to addiction and behavioral health treatment and driving Boulder's growth into new markets. Boulder Care is an award-winning digital clinic for addiction medicine, focused on improving lives through compassionate, evidence-based care. They offer a virtual, multidisciplinary care team and partner with health plans, employers, and community organizations to ensure accessibility and coverage. The company has been recognized as a Fortune Best Workplace in Healthcare, emphasizing a culture of kindness, respect, and meaningful work.

Requirements

• 5-7+ years of progressive experience in healthcare sales, payer contracting, network development, or managed care
• A track record of successfully negotiating and closing complex VBC, shared savings, or pay-for-performance contracts with health plans
• Deep knowledge of alternative payment models, population health strategies, and how Medicaid, Medicare Advantage, and commercial plans operate
• Sharp negotiation, financial, and analytical skills — comfortable building and interpreting complex pricing and ROI models
• Executive presence and the ability to pitch and influence C-suite decision-makers at major health plans
• Excellent written and verbal communication skills, with a knack for turning clinical outcomes into compelling financial stories
• A self-starter mindset — you thrive with autonomy in a fast-paced, high-growth environment and take real ownership of your work
• Integrity, strategic thinking, and professionalism that reflect Boulder Care's values

Nice To Haves

• Experience selling to or negotiating with payers in behavioral health, substance use disorder (SUD), or digital health
• An active network of senior-level contacts at regional and national health plans
• Familiarity with regulatory requirements and compliance standards related to VBC and telehealth

Responsibilities

• Own the end-to-end sales cycle for new payer partnerships — from first pitch to signed Value-Based Care (VBC) and pay-for-performance contracts
• Lead strategic renegotiations with existing fee-for-service partners, transitioning them into progressive risk-sharing and VBC frameworks built around Boulder's outcomes
• Be the primary negotiator on contract terms, rates, and performance metrics — crafting agreements that are financially sound and mutually beneficial.
• Build compelling, data-driven value propositions tailored to each health plan's population and strategic priorities
• Manage the full contracting lifecycle, from discovery through redlining, execution, and a smooth handover to our Partner Success team
• Build and manage a robust pipeline of payer prospects, using CRM tools to forecast revenue and report on key sales metrics
• Conduct market research on regional payer landscapes, competitor positioning, and regulatory shifts shaping VBC opportunities
• Identify and prioritize high-value targets, including Medicaid Managed Care Organizations (MCOs), Medicare Advantage plans, and commercial health plans.
• Share market feedback with internal teams to help shape product development, pricing, and clinical program design
• Partner with Operations and Partner Success after signing to ensure smooth implementation and strong contract performance
• Represent Boulder Care at industry conferences, payer summits, and networking events as a thought leader in value-based behavioral health.

Benefits

• Comprehensive medical, dental, vision, and short-term disability benefits
• Mental Health Services via insurance coverage, including Talkspace and EAP
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties

What This Job Offers

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