Senior Director, Strategic Payer Relations

Overview

Anew Health is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of Exact Care and Tabula Rasa Health Care, we provide a suite of solutions that includes comprehensive pharmacy services;

full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

The Senior Director, Strategic Payer Relations is a senior leader responsible for managing and advancing strategic relationships with assigned payer organizations. This role serves as the primary relationship owner for designated payers and is accountable for payer access, retention, reimbursement performance, and overall relationship health.

Operating within the newly formed Payer Relations and Market Strategy organization, the Senior Director will engage routinely with Director-, Vice President-, and Senior Vice President-level payer leaders and will represent the organization in high-impact discussions related to network participation, reimbursement models, and payer performance optimization.

This role works in close collaboration with internal clinical, contracting, policy, analytic, finance and operational leaders to ensure coordinated execution of payer strategies that support enterprise revenue and margin growth.

• Serve as the primary relationship owner for a defined portfolio of strategic payer organizations.

• Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents.

• Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives.

• Ensure consistent, coordinated communication and positioning across all payer interactions.

• Lead master account planning for assigned portfolio and conduct payer quarterly business reviews

• Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships.

• Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies.

• Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution.

• Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy.

• Align payer engagement activities with enterprise priorities, regulatory considerations, and contracting strategies.

• Support internal readiness for payer discussions by coordinating data, insights, and materials as needed.

• Support governance processes related to payer engagement, escalation, and decision-making.

• Prepare executive-level summaries, updates, and recommendations for senior leadership as required.

• Ensure disciplined follow-through on commitments made to and by payer organizations.

• Maintain accurate documentation of payer interactions, priorities, and outcomes.

• Contribute to the development of scalable processes, tools, and best practices for the evolving Strategic Payer Relations function.

• Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands.

• Assist the Vice President, Strategic Payer Relations, in shaping role clarity, engagement models, and operating cadence during the function formation phase.

• Bachelor’s degree required; advanced degree preferred.

• 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government…