Senior Director, Strategic Payer Relations

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🕒 February 12

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ExactCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2009

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 Private Equity Round on 2016-03

Healthcare Insurance • Pharmaceuticals

ExactCare is a leading pharmacy care management provider that specializes in medication management for individuals with complex, chronic medical needs. With operations in all 50 states and Washington, D. C. , ExactCare supports more than 100,000 people nationwide, helping them manage their medications in assisted living, long-term care facilities, and at home. Partnering with healthcare organizations, ExactCare aims to improve clinical outcomes by ensuring better medication adherence, reducing readmissions, and lowering overall healthcare costs.

📋 Description

• Senior leader responsible for managing and advancing strategic relationships with assigned payer organizations • Serve as the primary relationship owner for designated payers • Engage routinely with executives and represent the organization in discussions related to network participation and reimbursement models • Collaborate with internal teams to ensure coordinated execution of payer strategies

🎯 Requirements

• Bachelor’s degree required; advanced degree preferred • 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations • Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP) • Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics • Proven ability to operate effectively in complex, matrixed organizations • Strong executive communication skills, both written and verbal • Experience supporting payer strategies across national and/or regional payers • Background working closely with contracting, clinical, pharmacy, or reimbursement-focused teams • Experience contributing to new function or capability development within a healthcare organization • Ability to synthesize complex information into clear executive-level insights

🏖️ Benefits

• medical/dental/vision • flexible spending • company-paid life insurance • short-term disability • voluntary benefits • 401(k) • Paid Time Off • paid holidays