Senior Director, Payer Strategy and Operations

Job Application for Senior Director, Payer Strategy and Operations at Boulder Care Back to jobs Senior Director, Payer Strategy and Operations United States Apply About Boulder Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care. We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most. Named by Fortune as one of the Best Workplaces in Healthcare, we foster a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward. About this role Boulder Care is seeking a strategic, analytically-driven leader to serve as Senior Director of Payer Strategy & Operations. This is a high-impact role designed for an expert in alternative payment models who can bridge the gap between complex healthcare economics and sophisticated market positioning. The ideal candidate will oversee the foundational financial and operational structures of our payer relationships—from Total Cost of Care (TCOC) frameworks and risk analysis to the revenue operations and pipeline reporting tools that power our growth engine. You will act as a key architect of our commercial success, translating clinical and financial data into the compelling narratives that drive revenue growth. You are part strategist, part data storyteller, and part operational architect. What you'll do VBC Strategy & Economic Modeling Act as the primary architect for Boulder’s value-based contracting frameworks, picking up and evolving existing work on Total Cost of Care and upside/downside risk modeling. Conduct financial modeling and clinical insight harvesting to evaluate complex payer contracts. Translate internal performance data into commercial opportunities. Storytelling & Sales Enablement Transform raw research and complex data sets into high-impact narratives that resonate with payer executives. Develop, maintain, and iterate on all commercial materials, including pitch decks, Quarterly Business Reviews (QBRs), and RFP responses. Enable the sales team with the positioning and evidence needed to close sophisticated value-based contracts. Operational Rigor & Insights Own the commercial tech stack (Salesforce and connected tools) and train internal team members to deliver accurate, actionable insights for pipeline management and renewals. Establish and maintain the definitive "source of truth" systems for revenue, retention, and partner performance. Lead reporting for the Commercial team, Senior Leadership Team (SLT), and the Board to drive data-backed decision-making and execution. What you bring 8+ years of progressive leadership in management consulting, healthcare strategy, or payer finance, with experience in the mechanics of Value-Based Care (VBC). Familiarity with Medicaid managed care organizations, state-level healthcare dynamics, and businesses shaped by public policy / regulatory factors Ability to synthesize complex clinical and financial datasets into a cohesive, persuasive commercial narrative Sophisticated understanding of CRM (Salesforce) data structures and business intelligence tools to translate raw data into actionable performance insights. What success looks like VBC frameworks are both innovative and sustainable – and structured to capture maximum value while protecting Boulder’s clinical mission. The Boulder story is data-backed and undeniable – shifting the conversation from "why Boulder" to "how soon can we start" through high-impact collateral and QBRs. A "Source of Truth" is established and trusted – providing the SLT and Board with absolute confidence in revenue, retention, and performance data. Growth and Clinical/Ops are perfectly synchronized – ensuring every contract signed is operationally viable and performance-ready before launch. Commercial insights drive the roadmap – using financial and clinical "harvesting" to proactively identify the next high-ROI opportunities for expansion. Work environment Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time . Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like Expected hours of work This is a full-time remote position expected to work 40 hours between Monday-Friday. Compensation The starting pay range for this position is $200,000 - $240,000 ; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave). Some of Boulder’s amazing benefits for regular, full-time employees Contribute to meaningful, life-saving work! Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment Sick leave accrued at 1 hr for every 30 hrs paid 9 Paid Holidays per year 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment) 401(k) retirement savings Remote friendly with hardware provided to complete your work duties Our values The people we care for always come first Our opportunity is also our duty, in service to others Share facts to change minds, instill empathy to change hearts Move the industry forward: follow the data Strong individuals, stronger together Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply! Apply for this job * indicates a required field First Name * Last Name * Preferred First Name * Email * Phone Country * Phone * Resume/CV * Attach Attach Dropbox Google Drive Enter manually Enter manually Accepted file types: pdf, doc, docx, txt, rtf Due to privacy protocols, we are unable to employ individuals who are or have previously been patients at Boulder Care. If this applies to you, please discontinue this application. * I confirm that I am not currently and have never been a patient at Boulder Care. 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