Partner Products Lead
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Job Description
Partner Products & Networks Lead managing provider network and care pathway partnerships in an AI-native healthcare startup transforming healthcare delivery.
Responsibilities:
- Identify and evaluate new provider network opportunities (national, regional, and direct-contract models).
- Develop differentiated network configurations to support broker distribution.
- Ensure network economics align with underwriting and pricing strategy.
- Build partnerships with centers of excellence, specialty providers, and high-impact clinical programs.
- Structure bundled pricing or value-based agreements where appropriate.
- Lead negotiations with provider groups, networks, and specialty partners.
- Partner closely with TPA leadership to ensure clean integration into eligibility, claims, prior authorization, and billing systems.
- Monitor performance post-launch and drive operational optimization.
- Define and track KPIs for cost, access, utilization, and member experience.
Requirements:
- 7–10+ years of experience in provider networks, care delivery partnerships, or TPA/health plan operations
- Direct experience negotiating and contracting provider or network agreements
- Strong understanding of claims administration, stop-loss structures, and reimbursement models
- Experience working within or alongside a TPA, carrier, MGU, or self-funded plan environment
- Proven ability to lead cross-functional initiatives from strategy through execution.
Benefits:
- Competitive compensation
- 100% company-paid comprehensive health, vision & dental insurance for you and your dependents
- Supplemental Life, AD&D and Short-Term Disability coverage options
- Discretionary time off
- Opportunity for rapid career progression
- 3 months of paid parental leave and flexible return to work policy (after 12 months of employment)
- Work-from-home stipend for remote employees
- 401(k) account
- Other benefits are coming soon!
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