Head of Payor Contracting & Strategic Partnerships jobs in United States
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Cleo Surgical · 7 hours ago

Head of Payor Contracting & Strategic Partnerships

Oath Surgical is pioneering value-based surgical care, reimagining the way surgery is priced, delivered, and reimbursed. They are seeking a leader for payor contracting and partnerships to drive fee-for-service and value-based care contracting, critical for accelerating surgical center onboarding and establishing partnerships across multiple geographies.

Hospitals and Health Care
Hiring Manager
Oliver Keown, MD
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Responsibilities

Lead local, regional, and national payor contracting to support Oath surgical center onboarding and expansion
Own baseline rate strategy, including market benchmarking and competitive analysis and assist in the architecture of supporting data infrastructure tied to the OathOS and VBC functions at Oath
Drive contract negotiations, amendments, renewals, and escalations
Support rate analysis and pro forma development for new service lines, including identification and procurement of appropriate actuary support
Partner with Operations, Finance, and Growth to align contracting timelines with regional launch plans
Lead VBC contracting efforts with payors, including, bundles and performance-based models
Support the design and execution of novel VBC collaborations anchored to Oath network access and referral partnerships
Support establishment of appropriate analytical, data and actuarial infrastructure to support scalable VBC operations and contracting
Serve as Oath representative to payors, building trusted, long-term partnerships
Identify and pursue non-traditional partnership opportunities, including pilots, preferred provider arrangements, and regional collaborations
Act as a conduit for market intelligence to inform network expansion, service line strategy, and pricing decisions
Run multiple contracting workstreams simultaneously across regions and payors
Tie payor partnership/ contracting to Oath RCM and OathOS capabilities
Own contract lifecycle management including renewal calendars and prioritization
Work closely with Legal, Finance, Analytics, Operations, Growth, and Clinical teams
Develop playbooks, templates, and negotiation frameworks as the function scales

Qualification

Payor contractingValue-based careNegotiation experienceFinancial fluencyProject managementBuilder mindsetAnalytical skillsCommunication

Required

10+ years in payor contracting, managed care, or strategic partnerships
Experience at provider platforms, MSOs, ASCs, or value-based care organizations
Direct negotiation experience with local Blues and national payors
Demonstrated success with FFS contracting and VBC models
Expert negotiator with strong commercial instincts
Highly tactical and execution-oriented
Strong project management capability; thrives in ambiguity
Financially and analytically fluent
Strong written and verbal communication skills
Driven, and builder-minded
Must thrive and be highly productive in a fully remote environment
Comfortable operating without heavy infrastructure
Meaningful external credibility combined with a willingness to be as hands-on as necessary
Motivated by mission, impact, and growth

Preferred

Experience supporting multi-site or multi-region expansion strongly preferred

Benefits

Ownership and visibility—you’ll be building a new function at the core of Oath’s model
High-caliber peers—a small, world-class team of operators, clinicians, and technologists
Culture of precision and pace—fast decisions, zero bureaucracy, constant learning and execution
A mission that matters—to make surgery more affordable, transparent, and patient-centered

Company

Cleo Surgical

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Cleo Surgical Inc. is reinventing surgical care.

Funding

Current Stage
Early Stage
Company data provided by crunchbase