Director of Program Management, Payor Partnerships

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CopilotIQ

51 - 200 employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

💰 Series B on 2024-11

Healthcare • SaaS • Artificial Intelligence

CopilotIQ is an AI-driven healthcare company that provides a remote patient monitoring and clinical engagement platform for people with chronic conditions, primarily diabetes and hypertension. The company combines an AI-powered analytics engine (remoteIQ) with deep longitudinal data — biomarkers, social determinants of health, behavioral data, and medication adherence — to monitor members in real time, provide early warnings, and enable personalized interventions by US-based licensed nurses and clinical teams. CopilotIQ markets its solution to payors (including Medicare Advantage plans) and emphasizes measurable outcomes such as reductions in ER visits, hospitalizations, hypoglycemic and hyperglycemic events, medication reductions, and high retention and engagement metrics. The company also operates under HIPAA privacy practices and offers telemedicine/clinical services through affiliated medical entities.

📋 Description

• Own the day-to-day operating relationship with each payor partner, serving as their primary point of contact and keeping programs running smoothly and the partnership positioned to grow. • Lead cross-functional program delivery across clinical, commercial, engineering, and operations, running launches and ongoing operations to scope, timeline, and contractual requirements. • Apply a disciplined project management approach: define project plans, milestones, decision rights, and operating cadences, track progress against them, and hold each function accountable to its commitments. • Define and own program KPIs, including enrollment and consent conversion, implementation milestones, service levels, program efficiency, and quality and outcome measures, reporting on performance and driving action where targets are missed. • Build a repeatable payor operating model and playbook so launches, workflows, and best practices.

🎯 Requirements

• Bachelor's degree required. Advanced degree a plus. • 8+ years in program management, payor or provider operations, healthcare strategy, or comparable operating roles is required. Experience at a top-tier consulting firm is a plus. • Proven success managing complex, high-stakes client or partner relationships with discipline, strong EQ, and sound long-term judgment. • Strong program and project management skills, with a track record of running cross-functional delivery to scope, timeline, and quality across multiple teams. • Strong analytical and problem-solving skills, comfortable defining KPIs, working in spreadsheets and BI tools, and using data to manage program performance. • Sound business judgment, with the ability to identify risks and opportunities early and bring forward clear, well-reasoned recommendations. • Clear, concise communication and executive presence, with a collaborative, team-first approach across functions. • Thrives in fast-paced, ambiguous environments with an ownership mindset. Experience in healthcare, value-based care, or Medicare Advantage is a plus.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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