[Remote] Senior Director, Payer Strategy and Operations

Note: The job is a remote job and is open to candidates in USA. Boulder Care is an award-winning digital clinic for addiction medicine, recognized for its innovation and high quality of patient care. The Senior Director, Payer Strategy and Operations will lead the development of partnerships with payers, focusing on value-based care strategies and enhancing the company's market presence through compelling narratives and strategic insights.

Responsibilities

• Evolve and operationalize Boulder’s approach to value-based contracting, including Total Cost of Care frameworks and risk structures
• Partner closely with Finance to evaluate contract opportunities and ensure strong economic alignment (you won’t own the models, but you need to know what matters)
• Translate performance data and clinical outcomes into clear, compelling market opportunities
• Help define pricing, packaging, and go-to-market strategy for payer partnerships
• Turn complex data, research, and outcomes into narratives that resonate with payer executives
• Own and continuously improve core commercial materials (pitch decks, QBRs, RFP responses, etc.)
• Partner with product, clinical, and operations teams to translate Boulder’s capabilities and workflows into clear, payer-facing messaging
• Collaborate with Product to develop and refine compelling demo scripts tailored to health plan audiences
• Act as a strategic partner on large, complex opportunities—helping structure deals, shape solutions, and guide pricing approach
• Enable the sales team with the positioning, materials, and support needed to close sophisticated value-based contracts
• Own and evolve the systems and processes that support our commercial organization (e.g., Salesforce, pipeline tracking, deal desk)
• Establish clear visibility into pipeline, performance, and growth opportunities
• Lead reporting and insights for the Commercial team, SLT, and Board to drive data-informed decisions
• Lead reporting for the Commercial team, Senior Leadership Team (SLT), and the Board to drive data-backed decision-making and execution

Skills

• 8+ years of progressive leadership in management consulting or healthcare strategy 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
• General understanding of CRM (Salesforce) data structures and business intelligence tools to translate raw data into actionable performance insights
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time
• Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards

Benefits

• Equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave)
• 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

Company Overview