Health Plan Partnerships Lead

Job Summary

As a full-time Health Plan Partnerships Lead, the candidate will manage market strategies, build partnerships with health plans, and oversee program design and performance, ideally based in the San Francisco office with hybrid work options available.

Key responsibilities

• Build business cases for new states and evaluate adjacent populations for potential partnerships
• Define and shape the value proposition for health plans, supporting negotiations and evaluations
• Lead the development of partnership performance metrics and ensure compliance with program requirements

Required qualifications

• 5+ years of professional experience, preferably at a top-tier management consulting firm
• Deep understanding of healthcare payors, including Medicaid program regulations and compliance
• Experience in designing programs from inception, including defining metrics and evaluating pilot programs
• Strong documentation and operational framework skills, capable of managing multiple partnerships simultaneously
• Experience in team management or readiness to build and lead a team as the role expands