# Payer Strategy & Partnerships Lead

**Company:** [Loula](https://hotfix.jobs/companies/loula)
**Location:** California, New York, NY
**Role:** Partnerships
**Salary:** $150k – $180k/yr
**Experience:** 4+ years
**Skills:** Payer Contracting, Healthcare Negotiations, Edi, Eft, Contract Management, Payer Playbook, Revenue Cycle Management, Provider Credentialing, Healthcare Operations, Stakeholder Management
**Posted:** 2026-03-20

> Leads payer strategy and partnerships by negotiating contracts with health plans, managing relationships with 20+ organizations in California, and building operational infrastructure for smooth execution. Requires 4-8 years in payer relations or healthcare operations, with strong execution and relationship-building skills.

## Job Description

## Responsibilities

### Strategic Ownership
- Lead payer expansion strategy by identifying which health plans to pursue each quarter based on market size, reimbursement rates, member demographics, and strategic fit.
- Negotiate contract terms with health plans on reimbursement rates, credentialing requirements, claims processes, and payment timelines.
- Create repeatable processes for how Loula identifies, launches, and scales payer partnerships.
- Present quarterly payer strategy recommendations to leadership including contract priorities, revenue projections, and risk assessments.

### Payer Operations
- Own plan launch operations for every new contract, including mapping out launch timelines and action items, coordinating with Product, Engineering, and Operations.
- Work with Candid Health on EDI/EFT enrollments and manage internal and external communications.
- Create and maintain an internal "Payer Playbook": comprehensive documentation for all 20+ health plans covering contract nuances, reporting and billing requirements, credentialing processes, fee schedules, and key contacts.

### Relationship Building & Management
- Serve as the primary point of contact for 20+ Medicaid and commercial payer organizations, building collaborative and growth-oriented relationships.
- Conduct regular check-ins with key payer contacts to review performance, identify opportunities for deeper collaboration, and explore pilot programs or expanded partnerships.
- Navigate payer organizations to identify and build relationships with the right stakeholders across credentialing, provider relations, network development, and population health.
- Advocate for Loula in contract discussions and partnership development.

### Cross-Functional Collaboration
- Support the Provider Success team with developing onboarding resources.
- Serve as the voice of payer dynamics internally — sharing trends, friction points, and opportunities with Product, Engineering, Provider Success, and Revenue Cycle.
- Enable Credentialing and Revenue Cycle teams with payer-specific guidance.

## Requirements
- 4-8 years of experience in healthcare payer relations, payer contracting, healthcare go to market, provider network management, or healthcare operations.
- Managed external partnerships or stakeholder relationships with professionalism and strong follow-through.
- Built workflows, documentation, and systems to increase visibility and help teams scale.
- Collaborated across functions to solve problems and drive improvements.
- Navigated complex organizations with competing priorities and multiple stakeholders.
- Negotiated contracts, agreements, or terms (preferred experience in the California market).
- Been an operator on a founding team or early employee at a startup.

## Compensation & Benefits
- $150,000+ annual salary
- Generous equity package
- Unlimited PTO
- Medical, dental, and vision coverage - FSA & HSA options
- Access to One Medical, Talkiatry, Peloton, Kindbody, and more
- Short & Long term disability insurance, Life insurance

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