CrawlJobs Logo

Payer Business Development Lead

abridge.com Logo

Abridge

Location Icon

Location:
United States , New York

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

142000.00 - 166000.00 USD / Year

Job Description:

We are looking for a key team member to help support the build-out of Abridge’s payer vertical. This role will work closely with the entire New Verticals team, payer customers, and cross-functional partners to support product discovery, customer engagement, internal coordination, and early commercialization efforts. The role is customer-facing and deeply embedded with payer partners while also ensuring we build the right internal processes and playbooks to support long-term success. Reporting to the VP of New Verticals, you will work across Product, Engineering, Marketing, Strategic Finance, and our health system and health plan customers to close new payer business, shape the product experience, and help scale our payer offerings.

Job Responsibility:

  • Build and maintain strong relationships with payer organizations to drive new business and expand adoption of Abridge’s payer products
  • Support pipeline development by researching payer prospects, setting a sales strategy, and tracking engagement progress
  • Develop value propositions, pricing inputs, and ROI analyses for emerging payer offerings
  • Partner with Marketing to support payer-specific content, messaging, and conference preparation
  • Gather, organize, and synthesize payer feedback, market insights, and internal inputs to support product discovery
  • Track assumptions, dependencies, and open questions to drive cross-functional alignment and customer follow-up
  • Support testing and learning by helping coordinate pilots, early feedback loops, and documentation of outcomes
  • Support 0→1 product launches by coordinating across internal teams and customers to ensure smooth execution
  • Assist with refining early implementation needs, success criteria, and product experience as offerings mature
  • Identify recurring friction points and opportunities for process, communication, or tooling improvements
  • Help build and manage key internal processes such as payer pipeline to ensure understanding of key dependencies, risks and executive and operational alignment and prioritization
  • Act as a central point of coordination for payer-related work, helping ensure the right teams are engaged at the right time
  • Proactively identify gaps, bottlenecks, or misalignment across payer initiatives and surface them with recommendations
  • Represent the payer vertical internally by helping ensure alignment on priorities, timelines, and customer needs

Requirements:

  • 5+ years in healthcare with experience spanning business development, product, partnerships, or strategy roles
  • Deep understanding of the payer landscape: health plan economics, value-based care, quality programs (HEDIS, Stars), utilization management, and revenue cycle management processes
  • Experience with revenue cycle management infrastructure and the knowledge of the tools, challenges and opportunities to innovate
  • Track record of building and closing complex enterprise healthcare deals with measurable revenue impact
  • Experience selling 0 to 1 : you've shaped what gets built, not just sold it
  • Relationships with health plan executives and/or health IT platform leaders
  • Experience building new business lines or verticals at growth-stage companies
  • Comfort with ambiguity and the ability to move fluidly between strategy, execution, and closing

Nice to have:

  • Experience with clinical documentation workflows, ambient AI, or scribe technology
  • Familiarity with payer-provider data exchange platforms (e.g., Epic Payer Platform, claims/clinical data integration)
  • Understanding of foundation AI models and their application in healthcare
  • Background working with health plan innovation or digital health teams
What we offer:
  • Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
  • Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families
  • Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA
  • Paid Parental Leave: Generous paid parental leave for all full-time employees
  • Family Forming Benefits: Resources and financial support to help you build your family
  • 401(k) Matching: Contribution matching to help invest in your future
  • Personal Device Allowance: Tax free funds for personal device usage
  • Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits
  • Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more
  • Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals
  • Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment
  • Compensation and Equity: Competitive compensation and equity grants for full time employees
  • Offers Equity
  • Offers Bonus

Additional Information:

Job Posted:
February 16, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Payer Business Development Lead

Senior Trainer – Business Training (Payer Services)

We are looking for a dedicated and experienced Senior Trainer to join our team, ...
Location
Location
India , Chennai
Salary
Salary:
Not provided
accesshealthcare.com Logo
Access Healthcare LLC
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 6 years of work experience
  • Strong understanding of compliance requirements and payer services processes
  • Exceptional communication and presentation skills
  • Ability to conduct engaging and effective training sessions
  • Strong organizational skills and attention to detail
  • Ability to work collaboratively with different teams and stakeholders
  • A proactive approach to problem-solving and process improvement
  • In-depth knowledge of the Revenue Cycle Management (RCM)
  • Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization
  • Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.
Job Responsibility
Job Responsibility
  • Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training
  • Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training
  • Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes
  • Deliver compliance courses for all employees to ensure adherence to regulatory requirements
  • Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure
  • Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies
  • Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles
  • Develop and conduct weekly training sessions based on new updates and error trends
  • Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels
  • Maintain extensive knowledge of all processes and sub-processes within Payer Services
Read More
Arrow Right

Global Market Access and Pricing Lead

This global role sits within Alfasigma’s Global Market Access & Pricing team and...
Location
Location
Italy , Milano
Salary
Salary:
Not provided
it.alfasigma.com Logo
Alfasigma
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Hold an advanced scientific degree (preferably with an MBA or degree in Health Economics/Public Policy)
  • Bring 10+ years of experience in market access, pricing, or HEOR within pharma, biotech, consultancy, or HTA organizations
  • Have hands-on experience in early clinical development, HTA submissions, and economic modeling
  • Possess a global perspective on payer systems and healthcare markets (US and HTA-driven systems)
  • Exhibit strong leadership and communication skills, influencing across diverse stakeholders and senior management
  • Are collaborative, adaptable, and visionary, able to connect scientific, economic, and strategic insights across a 10-year horizon
Job Responsibility
Job Responsibility
  • Crafting evidence-based value propositions aligned with payer expectations and clinical design
  • Leading strategic and operational pricing initiatives—from price corridor and policy development to launch sequencing
  • Developing payer evidence generation plans and access strategies tailored to each indication and geography
  • Creating global access tools (e.g., health economic and budget impact models) and anticipating HTA requirements
  • Acting as a cross-functional thought leader, integrating payer insights into business and development decisions
  • Supporting business development by evaluating licensing and acquisition opportunities through a payer and market access lens
What we offer
What we offer
  • A competitive salary
  • comprehensive benefits
  • extensive opportunities for professional growth and development
Read More
Arrow Right

Associate Director – Value Communication and Evidence Synthesis

As Associate Director – Value Communication & Evidence Synthesis, you will play ...
Location
Location
United Kingdom
Salary
Salary:
Not provided
bioscriptgroup.com Logo
Bioscript Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Postgraduate degree (MSc or PhD) in Health Economics, Public Health, Epidemiology, Biostatistics, or related life sciences discipline
  • 7+ years in market access, value communication, HEOR, or HTA consulting, with proven ability to lead complex, multi-disciplinary projects
  • Deep understanding of global HTA processes, payer evidence requirements, and market access dynamics
  • Demonstrated experience in evidence generation and synthesis, including systematic literature reviews, indirect treatment comparisons, and meta-analyses
  • Excellent analytical and writing skills, with the ability to distil complex data into actionable insights
  • Strong project and client management skills, with experience overseeing multiple projects and engaging senior stakeholders
  • Proven leadership and people management abilities, with a track record of mentoring and developing high-performing teams
  • Effective communicator with confident presentation skills and the ability to build trusted relationships with clients and colleagues
  • Experience contributing to business development, including proposal development and client pitches
Job Responsibility
Job Responsibility
  • Lead and deliver a diverse portfolio of projects across value communication, evidence synthesis, and HTA
  • Provide scientific and strategic oversight for the design, execution, and quality assurance of deliverables, including: global value dossiers, payer and reimbursement submissions, systematic and targeted literature reviews (SLRs, TLRs), evidence synthesis and meta-analyses (including ITCs and NMAs)
  • Translate complex data and analyses into clear, evidence-based narratives aligned with payer and stakeholder needs
  • Oversee multiple project teams, ensuring deliverables are completed on time, within budget, and to the highest quality standards
  • Manage project resourcing, timelines, and workload allocation to optimise team performance and impact
  • Line manage and mentor consultants and analysts, providing technical guidance and supporting professional growth
  • Foster a high-performance culture focused on collaboration, learning, and continuous improvement
  • Strengthen team capability in HTA, HEOR, and evidence synthesis methodologies
  • Collaborate across Valid Insight’s three core pillars—Strategy, Evidence Synthesis, and Value Communication—to deliver integrated, end-to-end market access solutions
  • Work with cross-functional teams within the Bioscript Group to leverage shared expertise and enhance project delivery
What we offer
What we offer
  • Competitive salary package
  • Flexible and remote working options
  • Generous annual leave policy which includes a winter shutdown
  • Birthday charity donation to a charity of your choice
  • Bonus Day off for community volunteering
  • Opportunities for professional development and career progression
  • Fulltime
Read More
Arrow Right

Payor BD Lead

We are looking for someone to build and own Abridge's payer vertical. This is a ...
Location
Location
United States , New York City
Salary
Salary:
195000.00 - 228000.00 USD / Year
abridge.com Logo
Abridge
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 7+ years in healthcare with experience spanning business development, product, partnerships, or strategy roles
  • Deep understanding of the payer landscape: health plan economics, value-based care, quality programs (HEDIS, Stars), utilization management, and network dynamics
  • Track record of building and closing complex enterprise healthcare deals with measurable revenue impact
  • Experience owning a number: whether a quota, P&L, or business unit target
  • Experience selling 0 to 1 : you've shaped what gets built, not just sold it
  • Relationships with health plan executives and/or health IT platform leaders
  • Experience building new business lines or verticals at growth-stage companies
  • Comfort with ambiguity and the ability to move fluidly between strategy, execution, and closing
Job Responsibility
Job Responsibility
  • Define the payer product vision and roadmap in partnership with Product and Engineering
  • Identify high-value use cases for payers with utilization management, quality improvement, care management, member engagement and translate them into product requirements
  • Gather market intelligence from payer prospects, existing health system customers, and industry trends to inform product priorities
  • Build, manage, and close a pipeline of national and regional health plans, Medicaid MCOs, and Medicare Advantage organizations
  • Own payer revenue targets and define the metrics that measure success
  • Leverage Abridge's health system partner base to identify payer opportunities and develop joint value propositions
  • Partner with Marketing to develop payer-specific positioning, content, and conference strategy
  • Collaborate with Strategic Finance to build business cases and ROI models that resonate with payer economics
  • Represent Abridge externally at industry events and in executive conversations across the payer ecosystem
  • Identify and cultivate strategic technology partnerships (e.g., Epic, Oracle, other EHR/health IT platforms) that support the commercial business models of Abridge across all verticals
What we offer
What we offer
  • Offers Equity
  • Offers Bonus
  • Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
  • Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families
  • Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA
  • Paid Parental Leave: Generous paid parental leave for all full-time employees
  • Family Forming Benefits: Resources and financial support to help you build your family
  • 401(k) Matching: Contribution matching to help invest in your future
  • Personal Device Allowance: Tax free funds for personal device usage
  • Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits
  • Fulltime
Read More
Arrow Right

CSE MCO Market Access Head

As Market Access MCO Head you will support execution of the Global Market Access...
Location
Location
Poland , Warsaw
Salary
Salary:
Not provided
sanofi.fr Logo
Sanofi
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Solid experience in market access, public affairs and management within an international healthcare environment
  • Proven track record of managing market access agendas (or similar) across multiple countries
  • Strong financial acumen, strategic thinking and roadmap development for new launches
  • Market analysis and economic modeling expertise
  • AI/digital knowledge for business case development, leverage predictive analytics
  • Experience in supporting access negotiations, advanced negotiation skills
  • Demonstrated ability to leverage research and scientific knowledge, scenario analyses and payers’ insights to generate integrated market access and pricing strategies and plans to maximize product differentiation most relevant to payers
  • Understanding of the evolution of the market access landscape
  • Glocal mindset: able to understand and contribute to the global framework combined with local execution
  • Innovation approach: ability to show Governments new pathways, leverage cross market learning, propose alternative payer models
Job Responsibility
Job Responsibility
  • Develops cross-countries “scalable” business projects and change management programs specific to Market Access, in compliance with the highest international standards and norms
  • Ensures consistent strategic directions of Market Access teams across countries according to Market Access MCO roadmap and in full alignment with all relevant stakeholders and Corporate Affairs MCO roadmap
  • Adaptation of global Market Access strategy and initiatives to the market
  • Lead strategic workforce planning projects with local Market Access teams as key lever towards Market Access transformation of resources, capabilities and training
  • Lead the access strategy across the development and life-cycle management phases including external payer engagements, value and payer engagement tools and materials negotiation
  • Business case development: makes sure that country MAx is leveraging sophisticated data and analytical capabilities to identify opportunities for process improvement, automation, and digital transformation
  • Local markets business insights and levers understanding to co-develop and execute best strategies
  • Identify and assess potential risks related to MCO Market Access
  • Maintain deep knowledge of therapeutic area developments and payer frameworks
  • Shape the policy environment and ensure value messages are recognized by all relevant stakeholders, including payer influencers, to strengthen market access positioning
What we offer
What we offer
  • Help shape the future of care for patients in Poland by optimizing access to innovative therapies
  • Drive meaningful impact at a regional scale, working with key stakeholders across the healthcare ecosystem
  • Be part of a dynamic team that's transforming market access strategies in a complex and evolving healthcare landscape
  • Develop your career with opportunities for cross-functional collaboration and strategic decision-making
  • Join a workplace where diversity, equity, and inclusion are at the core, with programs that celebrate every voice
  • Enjoy comprehensive benefits, including flexible working options and well-being programs designed to help you thrive
Read More
Arrow Right

Senior Director, Access Strategy, Dupixent Rhinology-Gastroenterology and Allergy

Join the team transforming care for people with immune challenges, rare diseases...
Location
Location
United States , Cambridge, MA
Salary
Salary:
206250.00 - 297916.66 USD / Year
sanofi.fr Logo
Sanofi
Expiration Date
June 26, 2026
Flip Icon
Requirements
Requirements
  • Bachelor’s degree required
  • advanced degree (MBA, M.S., PharmD, PhD) preferred
  • 10+ years of experience in market access strategy, account management, payer marketing, contracting, pricing, etc.
  • 7 years in a leadership role
  • Proven track record of managing teams and leading strategic initiatives across complex therapeutic areas in the access/payer landscape
  • Solid understanding of strategic pricing and commercial contracting strategy, process and rules
  • Strong strategic thinking and analytical mindset, with a focus on market access, financial optimization, and risk management
  • Strong leadership skills with the ability to build, motivate, and develop high-performing teams
  • Excellent communication and presentation skills, with the ability to influence and negotiate with senior executives, payers, and external stakeholders
  • High degree of business acumen, with the ability to balance strategic objectives with financial imperatives
Job Responsibility
Job Responsibility
  • Collaborate with the General Manager & senior leadership to set strategic direction for market access, pricing, channel strategy, and reimbursement
  • Develop and execute a robust, evidence-based market access strategy that maximizes payer adoption and patient access to critical therapies
  • Lead the creation of value propositions that demonstrate the economic and clinical benefits of products to payers, healthcare providers, and stakeholders
  • Develop and communicate robust market access strategies and plans, including clear articulation of the brands’ value story, and help to integrate them into the overall brand plan
  • Plan and manage the Dupixent payer brand budget
  • Partner with HEVA business partners to inform real world evidence generation and ensure health economic activities are in place to meet the needs of payers
  • Lead efforts to anticipate and adapt to changes in the regulatory and reimbursement landscape, ensuring compliance and sustained market access
  • Identify gaps in current market access understanding and develop plans to gain direct payer insights through primary research, advisory boards, etc., and work with vendors to implement projects in a timely, impactful manner
  • Lead pull through opportunities and execution of pull through strategy for all channels and geographies based upon formulary position and opportunity
  • Provide strategic and executional support for product/indication launches, including market research, pricing strategy, contracting, and messaging to ensure successful market entry and adoption for inline and pipeline assets
What we offer
What we offer
  • Bring the miracles of science to life alongside a supportive, future-focused team
  • Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally
  • Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact
  • Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave
  • Fulltime
Read More
Arrow Right

Senior Client Manager-Healthcare

The Senior Client Manager for Healthcare at NTT DATA is responsible for managing...
Location
Location
United States of America , Santa Clara
Salary
Salary:
115000.00 - 140000.00 USD / Year
nttdata.com Logo
NTT DATA
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or equivalent in business, information systems, or a sales-related field
  • Relevant healthcare industry sales experience, technology sales, managed services, or vendor certifications are advantageous
  • Advanced experience in a global partner or alliance management role
  • Advanced experience in a healthcare-focused sales, account management, or customer-facing role
  • Advanced experience in IT services, digital health, or professional services industry with a focus on healthcare business development and sales
  • Advanced experience driving alignment to a common vision and working across multiple healthcare stakeholders to achieve sales growth
  • Strong sales orientation with experience working with healthcare clients and internal teams to create sales-oriented solutions and services
  • Advanced experience gained in a similar Client Manager or Account Manager role serving healthcare organizations
  • Advanced experience working with Salesforce.com or similar CRM platforms
  • Advanced experience in global partner management, sales environments, and customer service
Job Responsibility
Job Responsibility
  • Manage and grow strategic relationships with healthcare clients (e.g., provider systems, payers, life sciences organizations, and healthcare technology partners) to drive new business, account expansion, and renewals across all solutions within assigned accounts and/or new logo pursuits
  • Pursues healthcare-focused leads identified by Demand Generation, Business Development Representatives, and identified target pursuit accounts
  • Minimizes churn and maximizes retention across assigned accounts by ensuring ongoing value realization and client satisfaction
  • Drives client satisfaction throughout the entire healthcare buying lifecycle, from discovery and solution design through implementation and renewal
  • Generates demand by assisting healthcare clients in identifying clinical, operational, financial, and regulatory needs, and effectively articulating how the company can add value through its services and solutions
  • Influences and works closely with vendors, technology partners, and ecosystem alliances to achieve required outcomes
  • Uses company sales tools, CRM platforms, and proficient sales methodologies, such as MEDDPICC, to effectively manage healthcare accounts, opportunities, pipelines, and forecast
  • Develops open and effective communication channels with key stakeholders within healthcare organizations, including executive leadership, clinical leaders, IT, compliance, and procurement
  • Encourages revenue growth by positioning and inspiring clients to adopt additional services and solutions aligned to evolving needs
  • Serves as a reliable and trusted point of contact for healthcare clients, establishing strong, long-term business relationships
What we offer
What we offer
  • medical
  • dental
  • vision
  • life insurance
  • supplemental life insurance
  • spouse and child life insurance
  • STD
  • LTD
  • Flex Spending Accounts
  • Company's 401(k) retirement plan
  • Fulltime
Read More
Arrow Right

Director, General Medicines Access Strategy, Insulins

The Director, Access Strategy, Insulins will be responsible for developing and i...
Location
Location
United States , Morristown, NJ or Cambridge, MA
Salary
Salary:
178500.00 - 257833.33 USD / Year
sanofi.fr Logo
Sanofi
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree is required. Masters preferred.
  • Minimum 7+ years of experience in the pharmaceutical/ healthcare sector.
  • Ideally 2+ years in payer space (account management, payer marketing, contracting, public policy).
  • Experience in payer/brand marketing
  • Proven experience navigating US payer landscapes, including Federal programs, Long-Term Care (LTC), and Group Purchasing Organization (GPO) channels.
  • Minimum 5+ years of business experience in the pharmaceutical healthcare sector
  • Strong leadership skills and demonstrated ability to lead cross functionally
  • Experience identifying trends and insights assimilating into market/channel strategy
  • Understanding of key payer value drivers and ability to develop and implement payer value propositions
  • Understanding of macro–US Healthcare trends and their translation/impact on the business.
Job Responsibility
Job Responsibility
  • Participate with brand team(s) and provide input into brand strategy development, serving as expert for the payer, distributor and channel perspective and ensuring economic considerations are incorporated.
  • Develop and communicate robust market access strategies and plans, including clear articulation of the brands’ value story, and help to integrate them into the overall brand plans.
  • Identify gaps in current market access understanding and develop plans to gain direct payer insights through primary research, advisory boards, etc., and work with vendors to implement projects in a timely, impactful manner.
  • Develop strong value communication platform and messaging to support access targets and goals.
  • Collaborate with national, regional and contracting account management, brand marketing, commercial ops, market research, trade, legal, regulatory, medical, global marketing, global market access, pricing & contracting, and corporate affairs to ensure appropriate understanding & implementation of Market Access
  • Collaborate with Health Economics and Outcomes Research (HEOR) team to develop strategies and tactics, including development of Value Propositions, Economic Analysis and Tools as well as Unbranded tactics to support communication of value across various formulary decision makers.
  • Uncover pull through & push-through opportunities and advise on execution of pull & push-through strategies for all channels and geographies based upon formulary position and opportunity
  • Manage vendors/agencies, including the development of RFPs, review, selection and milestones achievement towards contract deliverables
  • Provide brand insight into cross-functional collaborations with stakeholders and subject matter experts in the design of specific market access channel strategies and tactics
  • Provide pricing and reimbursement guidance around product forecast/financial model development.
What we offer
What we offer
  • wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs
  • at least 14 weeks’ gender-neutral parental leave
Read More
Arrow Right