Director, Payer Partnerships

Responsibilities

• Win and execute in-network agreements by converting commercial plans from out-of-network to in-network status
• Manage the end-to-end process from initial negotiation to signed paper and agreed payment models
• Drive plan activation by securing member data access and outreach authorization
• Align health plan quality and HEDIS incentives with cervical cancer screening gap closure
• Collaborate cross-functionally with integration and customer success teams to manage post-launch account performance

Requirements

• Proven payer contracting track record at a diagnostic or digital health company
• Regional Blues contracting experience, including plan-level work under national agreements
• Fluency across various reimbursement models including invoice, claims, PMPM, and case rates
• Experience owning the activation process, specifically regarding member data access and outreach authorization
• Ability to thrive in a Series A environment and navigate ambiguity

Preferred Qualifications

• Familiarity with care gap closure programs and HEDIS measure dynamics
• Experience with Medicaid managed care (MCO) contracting

About the Company

Teal Health is building the future of cervical cancer screening. With commercial coverage for self-collected screening imminent, we are focused on establishing favorable in-network agreements and driving member activation to close critical screening gaps.