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Director, Payer Innovation and Alliances

Role Overview: The position involves leading healthcare transformation initiatives within a consulting environment, focusing on payer modernization.

Key Responsibilities:

  • Develop, sell, and deliver technology-enabled healthcare strategies and transformation services.
  • Lead high-performing teams across process, technology, and analytics disciplines.
  • Demonstrate deep knowledge of payer, provider, or PBM operations as a subject matter expert.
  • Support business growth through relationship building and project proposals.
  • Ensure quality delivery via project management, budget oversight, and issue resolution.
  • Contribute to thought leadership and service offerings development.

Qualifications & Skills:

  • Minimum of eight years’ consulting or executive experience in the health payer industry, with a solid understanding of healthcare reform, value-based care, medical management, and operational efficiency.
  • Master’s degree from an accredited institution.
  • Experience leading large transformation projects, managing complex budgets, stakeholder engagement, and regulatory issues.
  • Strong analytical, communication, facilitation, and presentation skills.
  • Willingness to travel extensively and authorized to work without sponsorship.
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