Back to jobs
New

Senior Director, Payer Strategy and Operations

United States

About Boulder

Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care.

We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most.

Named by Fortune as one of the Best Workplaces in Healthcare, we foster a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.

About this role

Boulder Care is seeking a strategic, analytically-driven leader to serve as Senior Director of Payer Strategy & Operations. This is a high-impact role designed for an expert in alternative payment models who can bridge the gap between complex healthcare economics and sophisticated market positioning.

The ideal candidate will oversee the foundational financial and operational structures of our payer relationships—from Total Cost of Care (TCOC) frameworks and risk analysis to the revenue operations and pipeline reporting tools that power our growth engine. You will act as a key architect of our commercial success, translating clinical and financial data into the compelling narratives that drive revenue growth.  You are part strategist, part data storyteller, and part operational architect.

What you'll do

VBC Strategy & Economic Modeling

  • Act as the primary architect for Boulder’s value-based contracting frameworks, picking up and evolving existing work on Total Cost of Care and upside/downside risk modeling.  
  • Conduct financial modeling and clinical insight harvesting to evaluate complex payer contracts.
  • Translate internal performance data into commercial opportunities.

Storytelling & Sales Enablement

  • Transform raw research and complex data sets into high-impact narratives that resonate with payer executives.
  • Develop, maintain, and iterate on all commercial materials, including pitch decks, Quarterly Business Reviews (QBRs), and RFP responses.
  • Enable the sales team with the positioning and evidence needed to close sophisticated value-based contracts.

Operational Rigor & Insights

  • Own the commercial tech stack (Salesforce and connected tools) and train internal team members to deliver accurate, actionable insights for pipeline management and renewals.
  • Establish and maintain the definitive "source of truth" systems for revenue, retention, and partner performance.
  • Lead reporting for the Commercial team, Senior Leadership Team (SLT), and the Board to drive data-backed decision-making and execution.

What you bring

  • 8+ years of progressive leadership in management consulting, healthcare strategy, or payer finance, with experience in the mechanics of Value-Based Care (VBC).
  • Familiarity with Medicaid managed care organizations, state-level healthcare dynamics, and businesses shaped by public policy / regulatory factors
  • Ability to synthesize complex clinical and financial datasets into a cohesive, persuasive commercial narrative
  • Sophisticated understanding of CRM (Salesforce) data structures and business intelligence tools to translate raw data into actionable performance insights.

What success looks like

  • VBC frameworks are both innovative and sustainable – and structured to capture maximum value while protecting Boulder’s clinical mission.
  • The Boulder story is data-backed and undeniable – shifting the conversation from "why Boulder" to "how soon can we start" through high-impact collateral and QBRs.
  • A "Source of Truth" is established and trusted – providing the SLT and Board with absolute confidence in revenue, retention, and performance data.
  • Growth and Clinical/Ops are perfectly synchronized – ensuring every contract signed is operationally viable and performance-ready before launch.
  • Commercial insights drive the roadmap – using financial and clinical "harvesting" to proactively identify the next high-ROI opportunities for expansion.

Work environment

  • Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
  • Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
  • Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like

Expected hours of work

This is a full-time remote position expected to work 40 hours between Monday-Friday.

Compensation

The starting pay range for this position is $200,000 - $240,000; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).

Some of Boulder’s amazing benefits for regular, full-time employees

  • Contribute to meaningful, life-saving work!
  • Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families 
  • Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
  • 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
  • Sick leave accrued at 1 hr for every 30 hrs paid
  • 9 Paid Holidays per year
  • 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
  • 401(k) retirement savings
  • Remote friendly with hardware provided to complete your work duties

Our values

  • The people we care for always come first
  • Our opportunity is also our duty, in service to others
  • Share facts to change minds, instill empathy to change hearts
  • Move the industry forward: follow the data
  • Strong individuals, stronger together

Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Due to privacy protocols, we are unable to employ individuals who are or have previously been patients at Boulder Care. If this applies to you, please discontinue this application. *
Select...
Select...

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.
Select...
Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Boulder Care’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.