Senior Director, Payer Strategy and Operations
About The Position
Boulder Care is seeking a strategic, analytically-driven leader to serve as Senior Director of Payer Strategy & Operations. This is a high-impact role designed for an expert in alternative payment models who can bridge the gap between complex healthcare economics and sophisticated market positioning. The ideal candidate will oversee the foundational financial and operational structures of our payer relationships—from Total Cost of Care (TCOC) frameworks and risk analysis to the revenue operations and pipeline reporting tools that power our growth engine. You will act as a key architect of our commercial success, translating clinical and financial data into the compelling narratives that drive revenue growth. You are part strategist, part data storyteller, and part operational architect.
Requirements
- 8+ years of progressive leadership in management consulting, healthcare strategy, or payer finance, with experience in the mechanics of Value-Based Care (VBC).
- Familiarity with Medicaid managed care organizations, state-level healthcare dynamics, and businesses shaped by public policy / regulatory factors
- Ability to synthesize complex clinical and financial datasets into a cohesive, persuasive commercial narrative
- Sophisticated understanding of CRM (Salesforce) data structures and business intelligence tools to translate raw data into actionable performance insights.
Responsibilities
- Act as the primary architect for Boulder’s value-based contracting frameworks, picking up and evolving existing work on Total Cost of Care and upside/downside risk modeling.
- Conduct financial modeling and clinical insight harvesting to evaluate complex payer contracts.
- Translate internal performance data into commercial opportunities.
- Transform raw research and complex data sets into high-impact narratives that resonate with payer executives.
- Develop, maintain, and iterate on all commercial materials, including pitch decks, Quarterly Business Reviews (QBRs), and RFP responses.
- Enable the sales team with the positioning and evidence needed to close sophisticated value-based contracts.
- Own the commercial tech stack (Salesforce and connected tools) and train internal team members to deliver accurate, actionable insights for pipeline management and renewals.
- Establish and maintain the definitive "source of truth" systems for revenue, retention, and partner performance.
- Lead reporting for the Commercial team, Senior Leadership Team (SLT), and the Board to drive data-backed decision-making and execution.
Benefits
- Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
- Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
