Health Plan Strategy Lead

Abby Care

Full Time5+ yearsPosted 23 days ago

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Overview

Position Type

Full Time

Experience

5+ years

Job Description

The Opportunity:\nAbby Care is scaling fast, expanding into new state markets and growing from our core programs into new verticals and payor partnership models. We're looking for a Health Plan Strategy Lead to architect the strategy, economics, and regulatory foundation behind that growth. Reporting to the Head of Health Plan Strategy. You'll be the primary architect behind our new payor-facing care programs, including the research, design, and market strategy for new state markets, new clinical verticals, and new innovation opportunities.\n\nYour focus is upfront rigor: setting KPIs, defining clinical and economic outcomes, building the models and regulatory maps that justify entering a new state, launching a new vertical, or standing up a new care model, developing growth strategy and market intelligence to guide where we go next, and establishing the blueprint for payor pilots. We need someone who's energized by tackling the unknown, charting a path where none exists yet, and turning ambiguity into an opportunity we can execute on.\n\nA true strategic architect, you are excited to evaluate the strategic considerations and incentives of individual payors in a market, and use that context to inform Abby Care’s entry strategy. You excel at digging into complex research, state regulations, and financial mechanics to design rock-solid programs and market-entry plans. You have a builder mentality and thrive in a 0→1 environment, eager to grow into the 1→ many as Abby Care expands. High level of ownership defines your work - you take accountability for the research, program design accuracy, market-expansion strategy, and economic modeling that drive our success. You demonstrate comfort in ambiguity, and effortlessly synthesize complex healthcare data and policy into actionable strategy across multiple states and verticals simultaneously. If you are excited by the opportunity to shape the next phase of growth in a highly collaborative and cross functional environment, we would love to hear from you!\n\nThis is a Full-Time position based in our San Francisco office (4-days-a-week).

Required Skills

Us HealthcarePayor LandscapeRegulatory AnalysisProgram DesignEconomic ModelingMarket ResearchKpi DefinitionsFinancial MetricsRegulatory Compliance

About the Company

Abby Care

San Francisco, United States

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