Wheel Logo

Wheel

Manager, Payor Strategy and Contracting

Reposted 17 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
Senior level
Remote
Hiring Remotely in USA
Senior level
The Manager of Payor Strategy and Contracting will lead payer negotiation strategies, optimize contract structures, and build relationships with health plans to drive revenue and sustainable growth.
The summary above was generated by AI

Position: Manager, Payor Strategy & Contracting (Contract)

Location: Remote

About the Company

Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com.

About the Role

We are seeking a payor contracting leader to architect and execute Wheel’s payer strategy during a critical phase of growth. This role is not administrative - it is high-impact, externally facing, and directly tied to revenue, margin, and scalability.

You will lead complex payer negotiations, design economically sound contract structures, and bring established relationships and credibility with national and regional health plans. The right candidate understands how to translate innovative care models into compelling payer value propositions - and has the track record to get those deals across the finish line at strong rates.

This role will also serve as a strategic partner to leadership, ensuring payer agreements align with Wheel’s evolving care models, pricing strategy, and long-term margin goals.

What You’ll Own

Payer Strategy & Negotiation

  • Lead end-to-end negotiation of payer agreements, including FFS, value-based, risk-bearing, and hybrid models

  • Drive rate optimization and contract structures that improve contribution margin and long-term scalability

  • Leverage existing payer relationships to accelerate deal cycles and unlock favorable terms

  • Review health plan contract language, and is familiar with payor, medical group/IPA, and hospital/ancillary contract language and reimbursement mechanisms

  • Applies knowledge of healthcare delivery system, IPA operations, managed care, healthcare laws in assisting with the development of contracting strategies

  • Build tools and reporting that give leadership visibility into payer performance and opportunities

Deal Architecture & Financial Alignment

  • Partner with Legal, Finance and Ops to align contracts with unit economics, pricing strategy, and regulatory requirements/healthcare laws

  • Translate clinical programs (virtual care, longitudinal care, life sciences) into compelling, reimbursable models

  • Ensure contracts support enterprise goals around margin expansion and sustainable growth

Cross-Functional Leadership

  • Act as the central quarterback across Legal, Finance, Clinical, and Ops to structure and finalize deals

  • Provide clear guidance on tradeoffs, risks, and strategic implications of contract terms

  • Build internal clarity on how payer dynamics impact product, pricing, and operations

Market Intelligence & Relationship Management

  • Maintain and deepen senior-level relationships across national and regional payers

  • Bring forward insights on payer priorities, reimbursement trends, and competitive positioning

  • Position Wheel as a credible, strategic partner

Who You Are
  • 8–10+ years in managed care contracting, with a strong track record of leading negotiations with national and regional health plans

  • Proven ability to secure competitive rates and structure complex agreements (FFS, VBC, risk-based)

  • Established strategic payor relationships — you know who to call, and they pick up

  • Deep understanding of reimbursement models, healthcare economics, and virtual care delivery

  • Experience aligning contracting strategy with financial models, pricing, and operational realities

  • Highly credible communicator who can operate at both executive and operator levels

  • Comfortable in ambiguity — able to build structure where none exists and move quickly

What Success Looks Like
  • Accelerated execution of high-priority payer contracts with improved rate structures

  • Clear linkage between payer agreements and margin + pricing strategy

  • Established internal operating model for payer contracting that scales with growth

  • Strengthened payer relationships that position Wheel for long-term partnership

Wheel is committed to equal employment opportunities for all team members. Every decision we make regarding employment is solely based on merit, competence, and performance. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills.

Research shows that underrepresented groups typically apply only if they meet 100% of the criteria listed. At Wheel, we encourage women, people of color, and LGBTQ+ job seekers to apply for positions even if they don’t check every box for the role.

Similar Jobs

6 Hours Ago
In-Office or Remote
200K-300K Annually
Expert/Leader
200K-300K Annually
Expert/Leader
Information Technology • Software • Financial Services • Big Data Analytics
Global Quantitative Researchers at Citadel leverage advanced statistical and quantitative techniques to drive investment strategies and optimize portfolios.
Top Skills: C++Python
10 Hours Ago
Remote or Hybrid
Pennsylvania, USA
71K-166K Annually
Junior
71K-166K Annually
Junior
Digital Media • Information Technology • News + Entertainment
Full‑stack .NET developer responsible for writing, maintaining and optimizing code, designing APIs and system architecture, implementing unit/integration tests, supporting deployments, troubleshooting performance issues, and collaborating with QA and stakeholders. May work variable hours including nights/weekends.
Top Skills: AjaxAngularAsp.NetBootstrapperC#Continuous IntegrationCSSEntity FrameworkGitHTMLIisIocJavaJavaScriptJqueryJSONLinqMvc 5Net Core 2.0Net FrameworkOrmSalesforce Experience CloudSap AbapSQL ServerTfsTypescriptVb.NetVisual StudioWeb ApiXML
10 Hours Ago
Remote or Hybrid
Pennsylvania, USA
84K-196K Annually
Senior level
84K-196K Annually
Senior level
Digital Media • Information Technology • News + Entertainment
Design, build, test, and deploy scalable Salesforce solutions across multi-cloud environments using Apex, LWC, Visualforce, declarative tools and integrations (MuleSoft/REST/SOAP). Lead configuration, data modeling, CI/CD, code reviews, troubleshooting, and Agile delivery while mentoring junior engineers and supporting platform governance and long-term architectural alignment.
Top Skills: ApexCi/CdCopadoCSSFlowsGitHTMLJavaScriptLightning App BuilderLightning Web Components (Lwc)Media CloudMulesoftRest ApisSales CloudSalesforce Experience CloudService CloudSoap ApisSOQLSoslVisualforce

What you need to know about the Seattle Tech Scene

Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.

Key Facts About Seattle Tech

  • Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Amazon, Microsoft, Meta, Google
  • Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
  • Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Madrona, Fuse, Tola, Maveron
  • Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account