AbsoluteCare

Director, Payer Growth & Strategic Partnership

AbsoluteCare  •  United States (Onsite)  •  2 days ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Job Summary

This role serves as a support leader responsible for accelerating growth across existing payer partnerships, advancing AbsoluteCare's strategic objectives through strong payer collaboration, identifying growth opportunities, optimizing contract performance, and supporting contract operational performance in the assigned market(s). Reporting directly to the Chief Growth Officer, this role serves as a strategic liaison between AbsoluteCare and its health plan partners, working closely with Market Presidents, Medical Directors, Operations Leaders, Finance, Analytics, Quality, Marketing, and Shared Services teams.

This role blends traditional account management/client success (i.e. service and issue resolution) with driving growth, strengthening executive payer partnerships, supporting revenue expansion, and ensuring payer relationships translate into improved membership, enhanced contract performance, and long-term organizational success.

Duties and Responsibilities

Strategic Growth

  • Participate in the development, support and execute annual payer-specific growth strategies with Market Presidents and the Chief Growth Officer.
  • Identify opportunities for market expansion, and membership growth across Medicaid, D-SNP, Medicare Advantage, HIV, SMI, CKD and other targeted populations where applicable
  • Support strategic discussions and initiatives focused on growth, innovation and operational excellence that can include RFPs and other key company initiatives.

Payer Relationship Management

  • Develop trusted relationships within assigned payer partnerships, particularly with payer relations executives & other key stakeholders and serve as the primary coordination point between payer partners and operational teams.
  • Lead cross-functional coordination across shared services functions to ensure payer partners receive timely, accurate, and actionable information related to performance, outcomes, operational initiatives, and strategic priorities.
  • Represent AbsoluteCare in executive meetings and industry forums alongside Market President and Chief Growth Officer to drive payer satisfaction, retention and engagement
  • Support quarterly health plan Joint Operating Committee strategy, preparation and lead monthly payer executive operating reviews
  • Drive organizational alignment around payer account objectives by connecting internal stakeholders, facilitating issue resolution, and ensuring successful execution of contractual, operational, and growth-related initiatives.
  • Own the integrity and strategic value of CRM data by ensuring all customer accounts, executive stakeholders, key decision-makers, engagement activities, contract milestones, opportunities, and account insights are consistently documented and maintained.
  • Leverage the CRM as the system of record to support account growth, retention, forecasting, and organizational alignment.

Contract Performance & Value-Based Care Management

  • Maintain expert knowledge of assigned payer contracts
  • Monitor performance against contractual, quality, and SLA requirements and present updates to leadership
  • Identify performance gaps and coordinate corrective action plans
  • Support contract renewals, expansions, conversions and amendments
  • Identify opportunities to increase contract value and revenue generation
  • Monitor market dynamics and competitive intelligence
  • Co-lead dashboard development and executive reporting
  • Support implementation and readiness for new contracts and markets

Minimum Qualifications

  • Bachelor’s degree in healthcare, business, public health, finance, marketing or related field.
  • 8–12+ years of healthcare leadership experience.
  • 5+ years in payer/provider partnerships, managed care, value-based care or business development.
  • Experience with Medicaid, Medicare Advantage and D-SNP populations.
  • Ability to travel 30%

Preferred Qualifications

  • Master’s degree in Business Administration (MBA), Human Resources Management (MHRM), or a related field

Working conditions

This job operates in a professional office environment and remotely. This role requires a dedicated, quiet workspace with the ability to adhere to HIPAA and other privacy policies. A reliable and high-speed Wi-Fi connection.

Physical requirements

  • Ability to communicate clearly and exchange accurate information constantly.
  • Ability to remain stationary for long periods of time.
  • Repetitious movements.
  • Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.

Direct reports

None.

AbsoluteCare

About AbsoluteCare

We are passionate about our work and compassionate toward our people, whether they work here or seek care from us.

We opened the first AbsoluteCare center in Atlanta in 2000, with a primary focus on treating members with HIV/AIDS. We quickly became an HIV Center of Excellence, achieving impressive results: an 88 percent retention rate and a 97 percent undetectable rate.

A surprising thing happened. With so many of them free of the symptoms of HIV/AIDS, our members sought primary care from us. They were coming in for help controlling asthma, diabetes, heart disease, hypertension, and all the other conditions that life and aging had thrown their way.

So we transformed. We assembled a larger team of qualified, passionate practitioners to offer whole-life care in a new, larger center. And in the last two decades, we have expanded our facilities to multiple locations in several states, where we offer our members everything from primary care to nutrition counseling, behavioral health, and life services.

The members who set foot in an AbsoluteCare center are usually underserved. With their health already compromised, life’s daily stressors add to their level of need.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Columbia , MD
Year Founded
2000
Social Media