Senior Director, Value Based Contracting

Boulder Care

4h • $180,000 - $200,000 • Remote

About The Position

We're looking for a senior value-based contracting and health plan partnerships leader to own how payer deals are evaluated, structured, and executed, in close partnership with the VP of Payer Strategy.
At Boulder, payer contracting execution means being responsible for deciding which deals are worth pursuing, shaping the economics and structure, and carrying them through to signed, workable contracts. You will be accountable for the quality, results of deals and revenue impact to Boulder - not the number of meetings held or exploratory conversations without a clear path to sustainable deal economics for both parties.
You will drive two core deal motions:
Renegotiation & conversion (direct ownership)
Net-New Market contracting (Medicaid and Commercial) support ensuring agreements are economically sound, operationally executable, and scalable over time.
This is not a pure sales role, although sales literacy, negotiation skills and strong executive presence are critical as you will be a key externally-facing Boulder representative to the market. You will not be responsible for maximizing the number of payer meetings or inbound conversations, but for ensuring that payer work results in high-quality, executable contracts that drive durable enterprise value.
This role reports directly to the VP of Payer Strategy, who sets payer and go-to-market contracting strategy.

Requirements

• 7–12 years in payer contracting, consulting, value-based care, or health plan - provider partnerships required
• Direct experience with managed care organizations (whether Medicaid, Medicare, or Commercial)
• Strong understanding of:
• Alternative payment models and provider contracting mechanics
• How plans think about costs, quality metrics, population health and network contracting
• Proven ability to say “no” to bad economics; strong executive decision-making and judgement, solution orientation
• Ability to work cross functionally (not a lone wolf)
• Executive presence with health plans
• Analytical and detail-oriented;
• Strong execution orientation; this role informs strategy but is primarily accountable for pipeline progression, deal quality, and long-term economic outcomes.

Nice To Haves

• Experience in Medicaid, behavioral health or complex care models
• Exposure to pipeline driven sales motion (you don’t need to have direct sales experience)
• Experience at high-growth digital health or healthcare startups
• Team management experience

Responsibilities

• Enforce clear contract criteria before organizational time or resources are committed
• Prevent unqualified or low-ROI inbound opportunities from consuming payer, executive, or cross-functional bandwidth
• Ensure every active opportunity has a defined deal hypothesis, economic model, decision-maker map, and execution path
• Slow, redirect, or stop conversations that do not align with Boulder’s payer strategy or value-based contracting priorities
• In partnership with VP, Payer Strategy, lead conversion of existing FFS contracts to value-based arrangements
• Own end-to-end execution of negotiated health plan contracts, from strategy through contract signature and implementation readiness, with accountability for long-term contract sustainability and mutually derived value
• Exercise judgment in managing renegotiation dynamics and payer relationships, including political, operational, clinical, and economic constraints.
• Define what analytics and financial modeling is needed for each deal and partner closely with Finance, Analytics, Clinical, and Ops to ensure alignment
• Ensure consistency across contracts, narratives, and payer expectations
• Structure value-based proposals and contracts (pricing, quality metrics, downside risk, guardrails)
• Hold the line on PMPMs and long-term economics, as well as internal “go / no-go” thresholds for deals
• Ensure contracts are implementable with Boulder Care’s clinical and operational model
• In partnership with the VP, apply disciplined judgment to net-new market opportunities, ensuring only strategically aligned, economically sound deals advance
• Assist in deal strategy and mechanics and synthesizing market intelligence
• Support in prioritization of time and ensure deals advance through a structured sales motion
• Support executive-level outreach and early-stage negotiations
• Know when and how to leverage executive sponsorship (VP / CEO, SVP Medical Affairs)

Benefits

• Contribute to meaningful, life-saving work!
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed
• Number of Employees: 51-100 employees