1

Payers Direct Jobs in California (NOW HIRING)

On payers, the Director will work closely to ensure commercial payers have comprehensive coverage policies for LivaNova technologies and that state Medicaid plans adequately compensate providers for ...

Work cross-functionally with the internal Director of Sales, Director of Corporate Accounts and Private Equity, Payer Relations team and Payer Strategy team to ensure a unified platform. What will ...

Work cross-functionally with the internal Director of Sales, Director of Corporate Accounts and Private Equity, Payer Relations team and Payer Strategy team to ensure a unified platform. What will ...

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

Possessing a strong understanding of the healthcare marketplace and the challenges payers and PBMs ... direct and indirect business development within the healthcare industry, and a history of ...

Showing results 21-40

Payers Direct information

What is the difference between Payers Direct vs Payers Account Manager?

AspectPayers DirectPayers Account Manager
CredentialsTypically requires insurance or healthcare-related certifications, such as CPC or CPC-HOften requires similar certifications, with additional experience in client management
Work EnvironmentPrimarily office-based, handling claims processing and payer communicationsOffice setting with client interaction, focusing on account management and relationship building
Employer & IndustryHealth insurance companies, healthcare providers

While both roles involve working with payers in the healthcare industry, Payers Direct focuses on claims processing and payer communication, whereas Payers Account Managers emphasize maintaining client relationships and account oversight. Understanding these differences helps in choosing the right career path or job search focus within healthcare insurance roles.

What cities in California are hiring for Payers Direct jobs?

Cities in California with the most Payers Direct job openings:

Infographic showing various Payers Direct job openings in California as of August 2026, with employment types broken down into 64% Full Time, and 36% Part Time. Highlights an 100% In-person job distribution.

Senior Director, Payer & Government Partnerships

L-Nutra

Culver City, CA • On-site, Remote

$190/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago


Job description

The Opportunity
L-Nutra is the world's first nutri-technology company, with more than 47 completed clinical trials and 136 patents. Our portfolio of Medical Nutrition Therapies has produced disease-modifying outcomes for patients with diabetes, cardiovascular, cancer, and autoimmune conditions.
Over three decades, we've partnered with 18 leading medical research centers - including Stanford, USC, UCLA, and Mayo Clinic - to develop and test precision nutrition formulations that drive meaningful disease remission and regression. In diabetes, our lead nutri-technology, Fasting Mimicking Nutrition, has shown a 700% greater chance of remission versus drugs alone; in autoimmune conditions, our program showed a 72% increase in remission rates (L-Nutra Health). Health-economic assessments show these solutions are budget-saving for payers - aligning the interests of payer, patient, and practitioner.
Payers and governments are already moving. Cigna and the UAE, among others, have begun reimbursing L-Nutra's products and programs - and we're looking for a senior partnerships leader to work alongside our C-suite to source and convert new payers and governments, with health systems and employers as the channel expands.
Our medically tailored meals business already holds a reimbursement code and coverage across CMS and multiple plans, giving us a beachhead to build from.
This role is the commercial through-line from an evidence-generating pilot to a reimbursed, renewable program. You source grant-funded pilots with payers and governments (and demonstration projects with employers), partner with Medical and HEOR to design them and build the economic case, drive the reimbursement-model decision, and own the relationship through contracting - then hand delivery, enrollment, billing, delivery, and outcome tracking to Commercial Ops and Medical. You are the quarterback of a long, cross-functional pursuit - not a lone closer, and not the operator who runs the program once it's live.
This is a build-and-grow role. You'll stand up the payer and government motion first; as it proves out and the pipeline scales, you'll build and lead the team behind it - and you'll be in the running to grow with the channel as our commercial org matures.
What You Will Own
Source & Prove - pilots and demonstration projects
  • Source the front of the pipeline: grant-funded pilots with payers and governments first, with employer demonstration projects and health systems as the channel expands.
  • Partner with Medical and HEOR to develop grant applications and design pilots that generate the outcomes payers need - A1c, blood pressure, lipids, weight, cost savings, and engagement.
  • Keep pilots moving to validated, payer-ready evidence - Medical runs delivery; you own the commercial relationship and momentum.

Reimbursement & Contracting
  • With HEOR and Medical, drive the reimbursement-model decision - program vs. product vs. hybrid, case-rate / PMPM vs. product codes - and secure approval, working from the economic case HEOR builds.
  • Own the payer / government relationship through contracting: pricing and terms, covered population and services, and claims and credentialing setup.

Handoff, Renewal & Coordination
  • Hand signed programs to Commercial Ops and Medical for eligibility, enrollment, billing, delivery, and outcome tracking - then stay the commercial owner for renewal and expansion.
  • Partner in joint pursuits across L-Nutra's businesses - including our medically tailored meals business (CMS code + coverage across multiple plans) - collaborating and, where it fits, co-bidding on payer RFPs.
  • Lead the cross-functional pursuit team (Medical, HEOR, Commercial Ops) across the lifecycle, and build and lead the dedicated team as the channel scales.
  • Feed the market back into the company - pricing, packaging, evidence gaps, and go-to-market - so what we bring to payers keeps getting sharper.

Requirements
What You Bring
  • 8+ years in payer / government business development, market access, or value-based partnerships.
  • A track record of converting evidence-generating pilots or demonstration projects into reimbursed, renewable programs with payers and/or governments - not just net-new logo sales.
  • Reimbursement-model fluency - program vs. product vs. hybrid, case-rate / PMPM and product codes, SSBCI / supplemental benefits, and value-based contracting.
  • Experience partnering with clinical / Medical and HEOR / health-economics teams to design pilots and build the economic case.
  • Comfort quarterbacking long (12-24+ month), multi-stakeholder, cross-functional pursuits - and experience building and leading teams as a channel scales.
  • Bonus: experience in digital health, food-as-medicine, medical foods, or nutrition; grant-funded pilot experience; business development across more than one client type (payer, government, employer, health system); existing professional relationships with relevant decision-makers.

Benefits
What We Offer
Compensation: $190,000 - $220,000 base annually + meaningful equity + a performance incentive that starts milestone-weighted in year one (given the sales-cycle length) and shifts toward individual commission as the channel matures. Final offer reflects experience, scope, and impact.
Equity: a real pre-IPO equity stake - the base is compressed by design, and the equity story is genuine.
• Comprehensive health, dental, and vision benefits.
• 401(k) with up to 4% company match.
• Flexible, trust-based PTO (FTO).
• Remote (US) - candidates near a major airport preferred - with periodic time at our Culver City, CA headquarters and regular travel to payers, government stakeholders, and industry conferences.
• A path to grow with the channel you build, in a company at a meaningful inflection point.