Payer Partnerships Director
About the Role:
We are seeking a strategic and experienced Payer Partnership Director to lead the contracting strategy and execution for our Health Plans & Health Systems (HP/HS) vertical. In this role, you will partner closely with business development and the solutions team to drive our market strategy, forge net-new relationships, and ensure optimal payer coverage to support our growth and expand access to care across each market.
We are looking for someone familiar with cutting-edge approaches to payer contracting in behavioral health at the regional and national level—moving beyond traditional fee-for-service models to champion bundled rates and innovative programs. You will approach these partnerships by offering a value add: directly addressing specialty network gaps and designing tailored products that perfectly match the needs of our payer partners.
Responsibilities
Payer Contracting Strategy & Execution:
- Lead the end-to-end payer contracting strategy to secure net-new contracts and expand payer coverage in key target markets.
- Negotiate rates, terms, and contract language with national and regional health plans, ensuring agreements are financially viable, sustainable, and aligned with Lyra’s broader business goals.
- Drive the execution of the contracting roadmap from initial outreach to contract execution and implementation.
Market Activation & Cross-Functional Alignment:
- Partner closely with Operations, Business Development, and Clinical leadership to intimately understand the market activation strategy and prioritize contracting targets accordingly.
- Translate market expansion and business development goals into actionable, targeted network development initiatives to ensure robust coverage for prospective and existing clients.
- Serve as a subject matter expert on the payer landscape for internal cross-functional teams, driving alignment on shared goals.
Relationship Development & Management:
- Cultivate, build, and manage strong, long-term relationships with key decision-makers and network managers at national and regional health plans.
- Act as the primary relationship owner for payer partners, navigating complex organizational structures to establish Lyra as a preferred behavioral health partner.
Market Intelligence & Strategic Initiatives:
- Analyze market trends, competitive intelligence, and reimbursement landscapes to continuously refine and inform Lyra’s contracting playbook.
- Track and report on contracting KPIs and network adequacy, nimbly adjusting and reprioritizing strategies to optimize access to care for our members.
Qualifications
- Experience: 12+ years of progressive experience in payer contracting, network development, or managed care, preferably within the digital health, behavioral health, or health tech space.
- Negotiation Expertise: Proven track record of successfully sourcing, negotiating, and executing complex fee-for-service and/or value-based contracts with national and regional health plans.
- Cross-Functional Leadership: Significant experience driving alignment across business development, operations, and executive teams to push toward a shared market strategy.
- Industry Knowledge: Deep understanding of the health plan landscape, credentialing processes, reimbursement methodologies, and regulatory requirements.
- Agility & Drive: A self-starter who thrives in fast-paced, ambiguous environments, with a proven ability to independently build net-new relationships and navigate long, complex sales/contracting cycles.
Skills
As published by lever · 8 questions · 3 written answers
Basics
Resume/CV, Full name, Pronouns, Email, Phone, Current location, Current company, LinkedIn URL, Twitter URL, GitHub URL, Portfolio URL, Other website, To which gender identity do you most identify?, To which sexual orientation do you most identify?, Do you identify as a person living with a disability?, Are you fluent in any of the following languages?, Do you identify as LGBTQIA+?
Pick from a list (5)
- Are you legally authorized to work in the United States for our Company?
- Do you now, or will you in the future, require sponsorship for employment visa status (e.g., H-1B visa status, etc.) to work legally for our Company in the United States?
- Are you an employee of Lyra, Bend or an affiliated company (Currently or Previously)?
- If yes to the previous question, please select your affiliation: optional
- If you are a Lyra employee, do you certify you have reviewed the Internal Mobility Policy and meet the requirements? optional
Written answers (3)
- If you selected "other", please share your relationship here optional
- Securing net-new payer contracts often requires navigating long, complex health plan organizational structures. How do you approach building net-new relationships with health plan decision-makers, and what is your strategy for keeping long-cycle contracting negotiations moving toward execution?
- Describe a time you structured a complex value-based or risk-sharing agreement with a health plan: What was the initial hurdle, how did you align incentives, and what was the quantifiable impact on revenue or lives covered?