Senior Payer Strategy Jobs in Michigan (NOW HIRING)

The SVP, Payer & Partner Strategy is responsible for developing and advancing Help at Home’s enterprise payer and partnership strategy to drive growth, strengthen market differentiation, and support innovative care delivery models. This role serves as a key strategic leader focused on identifying partnership opportunities, developing payer-aligned solutions, and influencing enterprise growth initiatives across government and managed care ecosystems.

This individual will lead the development of differentiated payer value propositions, support innovative partnership structures, and help position Help at Home as a strategic partner across managed Medicaid, Medicare Advantage, HCBS, PACE, GUIDE, and adjacent healthcare ecosystems. The role requires a highly strategic and externally credible leader capable of translating operational and clinical capabilities into compelling business solutions for payer and partner audiences.

The SVP will partner closely with Operations, Clinical, Finance, Legal, Strategy, and executive leadership teams to evaluate opportunities, influence enterprise priorities, and drive strategic growth initiatives in a highly matrixed environment.

Compensation range based on experience $200,000-250,000.

• Develop and execute enterprise payer and partnership strategies aligned with organizational growth priorities and market expansion goals
• Build differentiated payer value propositions that clearly articulate Help at Home’s operational, clinical, quality, and financial strengths
• Develop audience-specific presentations and business cases tailored to payer executives including CFOs, CMOs, network leaders, and strategy teams
• Assess payer cost, quality, utilization, and network gaps and position Help at Home solutions to address those opportunities
• Lead strategic discussions related to preferred provider arrangements, quality incentive programs, value-based partnerships, shared savings models, and innovative reimbursement structures
• Monitor and evaluate evolving reimbursement models, regulatory developments, payer trends, and competitive market dynamics

• Identify, develop, and expand strategic partnerships with managed care organizations, health systems, PACE organizations, GUIDE participants, and related healthcare partners
• Originate new partnership channels and enterprise relationships from the ground up, not simply manage existing relationships
• Evaluate partnership opportunities for strategic fit, scalability, exclusivity risk, and long‑term growth potential
• Support enterprise go‑to‑market strategies and commercialization efforts tied to payer and partner initiatives
• Maintain and leverage a strong external network across managed care, home‑based care, HCBS, and healthcare strategy ecosystems
• Collaborate with executive leadership on strategic growth initiatives and partnership opportunities

• Lead highly matrixed initiatives across operations, clinical, finance, legal, and growth teams without direct reporting authority
• Drive alignment, accountability, and execution across diverse stakeholder groups
• Establish clear goals, communication cadences, and decision‑making frameworks for enterprise initiatives
• Partner with senior leadership to evaluate new business opportunities, partnership structures, and growth investments
• Serve as a strategic advisor and thought partner to executive leadership on payer strategy, reimbursement innovation, and market positioning
• Represent Help at Home externally at industry meetings, conferences, and strategic partner engagements

• Develop executive‑level business cases, growth models, KPI frameworks, and strategic performance insights
• Translate complex operational, financial, and market data into compelling executive narratives and recommendations
• Support strategic planning activities tied to payer growth, reimbursement opportunities, and partnership expansion
• Identify market trends, partnership opportunities, and competitive insights that influence enterprise strategy

• Deep understanding of managed Medicaid, Medicare Advantage, HCBS, PACE, GUIDE, and related government payer ecosystems
• Strong financial and strategic acumen with the ability to evaluate reimbursement structures, contracts, partnership economics, and growth opportunities
• Demonstrated ability to build and commercialize innovative healthcare partnerships and payer strategies
• Strong executive communication, storytelling, presentation, and influencing skills
• Ability to translate complex operational and clinical capabilities into compelling business solutions
• Proven ability to lead complex cross-functional initiatives in highly matrixed healthcare environments
• Executive presence with the ability to establish credibility across payer, clinical, operational, and executive audiences
• Strong relationship-building and negotiation skills
• Systems thinking with the ability to connect market opportunities, operational execution, and enterprise strategy
• Ability to operate strategically while also driving accountability and execution
• Continuous learning mindset with the ability to adapt in rapidly evolving healthcare environments

All employees must follow Help at Home cybersecurity and privacy policies, protect sensitive data, complete required training, and report suspected incidents. They must also follow acceptable use and access requirements and use only authorized systems.

• Bachelor’s degree required; Master’s degree in Healthcare Administration, Business Administration, Public Health, or related field preferred
• 10+ years of progressive leadership experience in payer strategy, managed care, business development, healthcare partnerships, healthcare consulting, or related healthcare growth functions
• Demonstrated success developing and executing strategic payer partnerships, value-based care models, and enterprise growth initiatives
• Experience building innovative healthcare solutions, commercialization strategies, or strategic partnership model
• Experience developing executive‑level business cases, growth models, KPI frameworks, and strategic presentations
• Experience leading complex, cross‑functional initiatives within matrixed healthcare organizations
• Experience within home care, home health, post‑acute care, healthcare services, managed care, payer organizations, healthcare consulting, or adjacent healthcare sectors strongly preferred
• Experience within organizations such as Optum, UnitedHealthcare, value‑based care organizations, healthcare strategy consulting firms, post‑acute organizations, or payer‑provider innovation environments preferred

USD $250,000.00 - USD $350,000.00 /Yr.