[Hiring] Manager, Payor Strategy and Contracting @Wheel

Remote Full-time
Role Description We are seeking a payor contracting leader to architect and execute Wheel’s payer strategy during a critical phase of growth. This role is not administrative - it is high-impact, externally facing, and directly tied to revenue, margin, and scalability. You will lead complex payer negotiations, design economically sound contract structures, and bring established relationships and credibility with national and regional health plans. The right candidate understands how to translate innovative care models into compelling payer value propositions - and has the track record to get those deals across the finish line at strong rates. This role will also serve as a strategic partner to leadership, ensuring payer agreements align with Wheel’s evolving care models, pricing strategy, and long-term margin goals. What You’ll Own • Payer Strategy & Negotiation • Lead end-to-end negotiation of payer agreements, including FFS, value-based, risk-bearing, and hybrid models. • Drive rate optimization and contract structures that improve contribution margin and long-term scalability. • Leverage existing payer relationships to accelerate deal cycles and unlock favorable terms. • Review health plan contract language, and is familiar with payor, medical group/IPA, and hospital/ancillary contract language and reimbursement mechanisms. • Applies knowledge of healthcare delivery system, IPA operations, managed care, healthcare laws in assisting with the development of contracting strategies. • Build tools and reporting that give leadership visibility into payer performance and opportunities. • Deal Architecture & Financial Alignment • Partner with Legal, Finance and Ops to align contracts with unit economics, pricing strategy, and regulatory requirements/healthcare laws. • Translate clinical programs (virtual care, longitudinal care, life sciences) into compelling, reimbursable models. • Ensure contracts support enterprise goals around margin expansion and sustainable growth. • Cross-Functional Leadership • Act as the central quarterback across Legal, Finance, Clinical, and Ops to structure and finalize deals. • Provide clear guidance on tradeoffs, risks, and strategic implications of contract terms. • Build internal clarity on how payer dynamics impact product, pricing, and operations. • Market Intelligence & Relationship Management • Maintain and deepen senior-level relationships across national and regional payers. • Bring forward insights on payer priorities, reimbursement trends, and competitive positioning. • Position Wheel as a credible, strategic partner. Qualifications • 8–10+ years in managed care contracting, with a strong track record of leading negotiations with national and regional health plans. • Proven ability to secure competitive rates and structure complex agreements (FFS, VBC, risk-based). • Established strategic payor relationships — you know who to call, and they pick up. • Deep understanding of reimbursement models, healthcare economics, and virtual care delivery. • Experience aligning contracting strategy with financial models, pricing, and operational realities. • Highly credible communicator who can operate at both executive and operator levels. • Comfortable in ambiguity — able to build structure where none exists and move quickly. What Success Looks Like • Accelerated execution of high-priority payer contracts with improved rate structures. • Clear linkage between payer agreements and margin + pricing strategy. • Established internal operating model for payer contracting that scales with growth. • Strengthened payer relationships that position Wheel for long-term partnership. Company Description Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment. Wheel solutions include configurable virtual care programs, an intuitive consumer interface, and access to a nationwide network of board-certified clinicians. Discover how Wheel is transforming the future of healthcare by visiting www.wheel.com .
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Senior Content Strategist

Remote

Senior Counsel, IP

Remote

**Experienced Customer Care Supervisor – Delivering Exceptional Service and Driving Operational Excellence at arenaflex**

Remote

Experienced Evening Customer Care Associate - Full-time Opportunity with 10% Rate Differential at blithequark

Remote

Sr Manager, Software Engineering -18812 in Remote US in Cox Enterprises

Remote

Remote Health Informatics Specialists / DataAnalysts

Remote

Experienced Remote Data Entry Specialist – Part-Time Opportunity for Detail-Oriented Individuals in Financial Services

Remote

Experienced Evening Data Entry Clerk – Full Time Opportunity with Competitive Salary and Comprehensive Benefits

Remote

Manager, Sourcing

Remote

Experienced Remote Live Chat Manager – Customer Service Team Leadership and Strategy Development

Remote
← Back