Head of Payer Partnerships

Alpaca Health•New York City, NY

3d•Onsite

About The Position

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians. We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving hundreds of patients, while growing 30% MoM. This role is full-time. We’re looking for candidates based in NYC or open to relocating who are open to 5 days a week in the office. We are hiring a Head of Payer Partnerships to expand and strengthen Alpaca Health’s payer ecosystem. This role sits at the intersection of healthcare strategy, contracting, operations, and market expansion. You will help independent autism therapy practices access better reimbursement, faster growth, and stronger payer relationships through Alpaca’s platform. You will own the strategic relationships and operational systems that power payer access across the country, from negotiating rates and opening new markets to building referral pathways and laying the groundwork for value-based care models.

Requirements

4-6 years of experience
GTM experience with health insurance payers
Experience leading senior-level, complex stakeholder conversations and can represent the company externally
Extremely ambitious and want to build something meaningful at high velocity
Thrive in environments with little structure and high accountability
Systems thinker who instinctively turns chaos into repeatable processes
Value the ability to experiment quickly and pivot as needed, over executing pre-defined checklists

Responsibilities

Lead payer contracting and reimbursement negotiations across commercial and, where possible, government payers
Improve fee schedules, contract terms, and network positioning for Alpaca Health and partner practices
Create and operationalize referral pathway partnerships with health insurance payers
Partner closely with operations, credentialing, clinical quality, and product teams to improve payer readiness and network performance
Support long-term value-based care initiatives, including outcomes tracking, quality measurement, and payer reporting infrastructure
Help position Alpaca as the preferred independent-provider network for autism care
Build repeatable internal systems for contract tracking, payer communications, escalation management, and market launch readiness
Work cross-functionally with leadership on expansion strategy, payer mix optimization, and network strategy