Senior Director, Health Plans

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🕒 December 11, 2025

🇺🇸 United States – Remote

💵 $180k - $210k / year

⏰ Full Time

🟠 Senior

👔 Director

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Positively Partners

WebsiteLinkedInAll Job Openings

11 - 50 employees

🌍 Social Impact

👥 HR Tech

🤝 Non-profit

Social Impact • HR Tech • Non-profit

Positively Partners is a social enterprise dedicated to fostering equity and inclusion within workplaces, particularly focusing on dismantling systemic barriers for marginalized communities. The company collaborates with nonprofits and socially-minded organizations to connect diverse candidates with career opportunities in the social impact sector. Positively Partners' team comprises psychology practitioners, HR professionals, and system design experts who work together to create mission-driven and productive work environments. The company's mission is to align employees' values and strengths with their roles to enhance organizational impact and employee engagement.

📋 Description

• Lead THI’s effort to activate health plans to invest in the drivers of health, generating practical ideas and establishing the business case for doing so, & getting leaders to go on the record with the sector and policymakers about the importance of this approach. • Support identification & recruitment of potential health plan partners for THI & engage other health plans if/as needed to achieve THI’s goals. • Develop, secure, and successfully execute THI’s contractual agreements with health plans. • Define quarterly, annual, & multi-year swim lane goals with corresponding milestones. • Create and execute plans to meet those goals, identify key stakeholders & define analysis and artifacts that will compel action. • Oversee the creation and finalization of all swim lane deliverables, e.g. briefings, articles, public comments, presentations, reports for a diverse set of stakeholders including policymakers, health plan executives, researchers, and funders. • Ensure quality of content and process. • Direct, mentor, & coach the cross-functional team members supporting the swim lane. • Manage a subset of external relationships and support other THI executives in managing additional stakeholders. • Monitor the healthcare landscape/ecosystem for developments relevant to THI goals, efficiently communicate internally or externally as appropriate, & integrate into prioritization. • Collaborate with other THI swim lane leaders to achieve organizational goals, including partnership / development initiatives. • Actively participate in the THI Leadership Team to strengthen organization-wide operations and culture.

🎯 Requirements

• Deep understanding of health plans’ business model, culture, operating model, customers, & context. • Knowledge of the means through which plans engage policymakers, members, investors, & other stakeholders. • Knowledge of health plan leadership priorities, mental models, & pain points. • At least 7 years of prior employment with direct engagement of senior leadership at a health plan and/or at CMS working closely with plans. • Experience in a core business function and/or government affairs leading a division or team required; experience leading cross-functional team members preferred. • Sufficient fluency in Medicare, Medicaid, and commercial payment policy required; Actuarial experience or direct involvement with bid development for the MA market and/or rate development for the Medicaid market preferred. • Ability to understand current constraints, think creatively about how to achieve THI’s objectives within these or by altering them, & to persuade others to take action consistent with this approach. • Experience supporting senior executives/leaders (e.g., preparing oral and written briefings). • Ability to manage up, down, and across peers. • Skill in activating stakeholders and facilitating complex, multi-party discussions. • Strategic goal-setting and execution in dynamic environments. • Experience leading change management efforts preferred. • Baseline knowledge of the impact of drivers of health on outcomes, cost & utilization.

🏖️ Benefits

• Full coverage of medical, dental, and vision insurance • Generous 401K matching and parental leave. • Unlimited sustainable vacation and sick time