Director, Payer Strategy and Growth
Nadia Care, New York, NY, United States
The United States has the poorest maternal and birth outcomes of all developed countries with the underserved, Black, Brown, Indigenous communities disproportionately affected. Nadia Care is working to drastically change the experience of affected communities by reimagining how we deliver meaningful and compassionate care to expectant moms.
Nadia Care’s mission is to improve pregnancy, birth and the postpartum journey for women and their families by reimagining how maternity care is delivered. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey. We help our members with care navigation, doula support, assistance with lactation, nutrition, housing, transportation and a wide range of other needs. We leverage technology to support our virtual engagement that allows us to meet all our moms where they are.
We ensure that our members have trusted sources for support, resources, and information throughout their pregnancy, delivery and well into postpartum. Nadia Care does not replace the primary obstetrician or doctor’s relationships. Instead, we support expectant mothers with all other health-related social needs not typically available through their doctors’ offices.
Our Values
Empathy is at the heart of everything we do. We must always center the experiences of the mothers and families we serve, as well as support and uplift one another.
Collaboration is what makes us stronger. We achieve the greatest impact when we work together, share knowledge, and elevate each other’s strengths.
Resilience reflects our ability to push through challenges, adapt in a fast-changing environment, and remain committed to our mission no matter the obstacles.
The Role In this highly visible role, the
Director of Payer Strategy and Growth
will drive new business growth and ensure ongoing success in our strategic health plan partnerships, while also deepening external payer relationships to identify new product opportunities and drive further alignment. This role is responsible for growth relationships with MCOs. This role is a highly collaborative role across our ELT and SLT teams.
Reporting to and working closely with the Chief Executive Officer, the
Director of Payer Strategy and Growth
is responsible for capturing new business opportunities and ensuring partner satisfaction within the healthcare payer sector. This role requires cross functional communication, process management, and collaboration with our Growth, Care Operations, Technology and Finance teams to strategically and successfully partner with Medicaid plans and healthcare systems.
Responsibilities Payer Strategy and Growth
Plan, develop, direct, coordinate and monitor all activities to successfully bring our product and services to new payers
Navigate contract strategy, negotiations, and renegotiations to optimize partnership structure and success
Manage contract negotiations with current and future Medicaid and commercial payers
Own pricing model and reviewing of unit economics for each contract
Leverage data to generate insights and identify new opportunities for payer partnership growth
Collaborate with cross functional, internal stakeholders to deliver insights to inform product operations and strategy
Evaluate current and potential new geographic areas for new business opportunities
Oversee policy and regulatory environment and serve as an expert level resource related to business review of all contracts, amendments, and correspondence
Collaborate with the Finance and Product teams to develop alternative payment models and ensure delivery of engagement and outcome based performance
Identify opportunities for enhanced relationships, reimbursement, referrals, and a growing market presence
Prepare forecasts and advise the Executive Leadership Team (ELT) on all matters concerning net revenues in the areas of Medicaid and commercial partnerships
Sales and Business Development
Drive sales to increase revenue growth with new (and renewed contracts) to expand our value-add to healthcare payer clients, and increase overall domain footprint
Identify and capture add-on, new capability, and cross-sell opportunities to drive sales and revenue growth within the healthcare payer industry
Work closely with the CEO to explore new sales opportunities and ensure a unified approach to payer partnership and contract management
Develop and recommend payer pricing, contracting and operational strategies to optimize the long-term financial profitability of the company
Work closely with the Finance team to evaluate, source, design, recommend, and monitor the execution and effectiveness of processes designed to ensure timely and accurate reimbursement from payers
Qualifications
MBA or equivalent
Bachelor’s Degree in business, communications, health administration or a related field required
RFP experience
Experience building Medicaid partnerships and/or selling into Medicaid
7+ years experience in healthcare payer strategy
Deep experience in healthplan world (different line of service is OK)
Understanding of Medicaid plans and regulations
Creative problem solving
Refined understanding of policy signals
Experience with pricing models and can be innovative
Deep understanding and experience with developing and negotiating payer contracts, particularly for Medicaid MCOs; commercial payer experience is a plus
Deep network and previously established relationships with Medicaid payersExperience with successful value-based contracting options for specialty services with Medicaid or commercial payers
Excellent written and interpersonal communication skills including active listening, self-management and awareness, emotional intelligence, and a high degree of integrity and professionalism
Proven financial acumen and ability to identify the impact of changes on budget goals and financial targets
Experience facilitating buy-in and engagement across diverse stakeholder groups
Ability to anticipate risks and mitigate effectively
Proven experience selling to C-level executives nationally
Proven record of exceeding sales quota
Experience with Hubspot, Google Suite required
Experience with Series A - Series C start-ups
Ability to travel as needed (up to 30%) for meetings and conferences
Experience in women’s health, pediatrics and specialty populations a plus
We recognize that great talent deserves great rewards. The expected total compensation for this position is between $200K-$220K annually, with base salary being between $165K-$175K. The exact compensation will depend on years of relevant experience.
For full-time employees, we offer a comprehensive benefits package designed to support you both professionally and personally:
Time Off That Works for You
Recharge with annual paid holidays off.
Salaried (Exempt) Employees: Enjoy unlimited time off after the 90-day probation period.
Full-Time (Non-exempt) Employees: Receive three weeks of paid time off after the 90-day probation period.
Medical Insurance: Access top-tier healthcare, covering hospital, surgical, and prescription drug benefits. Coverage begins the first of the following month.
Dental Insurance: Coverage for preventive care, as well as basic and major procedures.
Vision Insurance: Coverage for routine eye exams and eyeglasses.
Security & Future Planning Options
Disability Insurance: Short-term and long-term coverage in case of illness or injury.
401(k) Retirement Plan: Opportunity to save for the future.
We’re building something great and want you to be part of it. If you're looking for a fast-paced, dynamic environment where your contributions make an impact, apply today!
Please note that our recruitment team will only contact candidates via an official company email address ending in@nadiacare.com. Be cautious of scams; Nadia Care will never ask for financial information or payments at any stage of the hiring process.
Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.
As set forth in Nadia Care’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:
A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026
Why are you being asked to complete this form?
We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.
Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
How do you know if you have a disability?
A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability.
Disabilities include, but are not limited to:
Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn’s Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
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Nadia Care’s mission is to improve pregnancy, birth and the postpartum journey for women and their families by reimagining how maternity care is delivered. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey. We help our members with care navigation, doula support, assistance with lactation, nutrition, housing, transportation and a wide range of other needs. We leverage technology to support our virtual engagement that allows us to meet all our moms where they are.
We ensure that our members have trusted sources for support, resources, and information throughout their pregnancy, delivery and well into postpartum. Nadia Care does not replace the primary obstetrician or doctor’s relationships. Instead, we support expectant mothers with all other health-related social needs not typically available through their doctors’ offices.
Our Values
Empathy is at the heart of everything we do. We must always center the experiences of the mothers and families we serve, as well as support and uplift one another.
Collaboration is what makes us stronger. We achieve the greatest impact when we work together, share knowledge, and elevate each other’s strengths.
Resilience reflects our ability to push through challenges, adapt in a fast-changing environment, and remain committed to our mission no matter the obstacles.
The Role In this highly visible role, the
Director of Payer Strategy and Growth
will drive new business growth and ensure ongoing success in our strategic health plan partnerships, while also deepening external payer relationships to identify new product opportunities and drive further alignment. This role is responsible for growth relationships with MCOs. This role is a highly collaborative role across our ELT and SLT teams.
Reporting to and working closely with the Chief Executive Officer, the
Director of Payer Strategy and Growth
is responsible for capturing new business opportunities and ensuring partner satisfaction within the healthcare payer sector. This role requires cross functional communication, process management, and collaboration with our Growth, Care Operations, Technology and Finance teams to strategically and successfully partner with Medicaid plans and healthcare systems.
Responsibilities Payer Strategy and Growth
Plan, develop, direct, coordinate and monitor all activities to successfully bring our product and services to new payers
Navigate contract strategy, negotiations, and renegotiations to optimize partnership structure and success
Manage contract negotiations with current and future Medicaid and commercial payers
Own pricing model and reviewing of unit economics for each contract
Leverage data to generate insights and identify new opportunities for payer partnership growth
Collaborate with cross functional, internal stakeholders to deliver insights to inform product operations and strategy
Evaluate current and potential new geographic areas for new business opportunities
Oversee policy and regulatory environment and serve as an expert level resource related to business review of all contracts, amendments, and correspondence
Collaborate with the Finance and Product teams to develop alternative payment models and ensure delivery of engagement and outcome based performance
Identify opportunities for enhanced relationships, reimbursement, referrals, and a growing market presence
Prepare forecasts and advise the Executive Leadership Team (ELT) on all matters concerning net revenues in the areas of Medicaid and commercial partnerships
Sales and Business Development
Drive sales to increase revenue growth with new (and renewed contracts) to expand our value-add to healthcare payer clients, and increase overall domain footprint
Identify and capture add-on, new capability, and cross-sell opportunities to drive sales and revenue growth within the healthcare payer industry
Work closely with the CEO to explore new sales opportunities and ensure a unified approach to payer partnership and contract management
Develop and recommend payer pricing, contracting and operational strategies to optimize the long-term financial profitability of the company
Work closely with the Finance team to evaluate, source, design, recommend, and monitor the execution and effectiveness of processes designed to ensure timely and accurate reimbursement from payers
Qualifications
MBA or equivalent
Bachelor’s Degree in business, communications, health administration or a related field required
RFP experience
Experience building Medicaid partnerships and/or selling into Medicaid
7+ years experience in healthcare payer strategy
Deep experience in healthplan world (different line of service is OK)
Understanding of Medicaid plans and regulations
Creative problem solving
Refined understanding of policy signals
Experience with pricing models and can be innovative
Deep understanding and experience with developing and negotiating payer contracts, particularly for Medicaid MCOs; commercial payer experience is a plus
Deep network and previously established relationships with Medicaid payersExperience with successful value-based contracting options for specialty services with Medicaid or commercial payers
Excellent written and interpersonal communication skills including active listening, self-management and awareness, emotional intelligence, and a high degree of integrity and professionalism
Proven financial acumen and ability to identify the impact of changes on budget goals and financial targets
Experience facilitating buy-in and engagement across diverse stakeholder groups
Ability to anticipate risks and mitigate effectively
Proven experience selling to C-level executives nationally
Proven record of exceeding sales quota
Experience with Hubspot, Google Suite required
Experience with Series A - Series C start-ups
Ability to travel as needed (up to 30%) for meetings and conferences
Experience in women’s health, pediatrics and specialty populations a plus
We recognize that great talent deserves great rewards. The expected total compensation for this position is between $200K-$220K annually, with base salary being between $165K-$175K. The exact compensation will depend on years of relevant experience.
For full-time employees, we offer a comprehensive benefits package designed to support you both professionally and personally:
Time Off That Works for You
Recharge with annual paid holidays off.
Salaried (Exempt) Employees: Enjoy unlimited time off after the 90-day probation period.
Full-Time (Non-exempt) Employees: Receive three weeks of paid time off after the 90-day probation period.
Medical Insurance: Access top-tier healthcare, covering hospital, surgical, and prescription drug benefits. Coverage begins the first of the following month.
Dental Insurance: Coverage for preventive care, as well as basic and major procedures.
Vision Insurance: Coverage for routine eye exams and eyeglasses.
Security & Future Planning Options
Disability Insurance: Short-term and long-term coverage in case of illness or injury.
401(k) Retirement Plan: Opportunity to save for the future.
We’re building something great and want you to be part of it. If you're looking for a fast-paced, dynamic environment where your contributions make an impact, apply today!
Please note that our recruitment team will only contact candidates via an official company email address ending in@nadiacare.com. Be cautious of scams; Nadia Care will never ask for financial information or payments at any stage of the hiring process.
Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.
As set forth in Nadia Care’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:
A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026
Why are you being asked to complete this form?
We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.
Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
How do you know if you have a disability?
A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability.
Disabilities include, but are not limited to:
Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn’s Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
#J-18808-Ljbffr