Partner Products Lead

Role Overview

• Identify and evaluate new provider network opportunities (national, regional, and direct-contract models).
• Develop differentiated network configurations to support broker distribution.
• Ensure network economics align with underwriting and pricing strategy.
• Build partnerships with centers of excellence, specialty providers, and high-impact clinical programs.
• Structure bundled pricing or value-based agreements where appropriate.
• Lead negotiations with provider groups, networks, and specialty partners.
• Partner closely with TPA leadership to ensure clean integration into eligibility, claims, prior authorization, and billing systems.
• Monitor performance post-launch and drive operational optimization.
• Define and track KPIs for cost, access, utilization, and member experience.

Requirements

• 7–10+ years of experience in provider networks, care delivery partnerships, or TPA/health plan operations
• Direct experience negotiating and contracting provider or network agreements
• Strong understanding of claims administration, stop-loss structures, and reimbursement models
• Experience working within or alongside a TPA, carrier, MGU, or self-funded plan environment
• Proven ability to lead cross-functional initiatives from strategy through execution.

Benefits

• Competitive compensation
• 100% company-paid comprehensive health, vision & dental insurance for you and your dependents
• Supplemental Life, AD&D and Short-Term Disability coverage options
• Discretionary time off
• Opportunity for rapid career progression
• 3 months of paid parental leave and flexible return to work policy (after 12 months of employment)
• Work-from-home stipend for remote employees
• 401(k) account
• Other benefits are coming soon!