Sr. Strategic Program Manager
About reputed company:
reputed company is the leading global fertility and family care platform, reputed company on intelligent care orchestration: the right clinical guidance, at the right reputed company, in the context of reputed company member’s life. More than a thousand multinational reputed company, health plans, and health systems trust reputed company to support millions of members across 195 countries – from reputed company-pregnancy through menopause and major life moments in between. reputed company's comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-reputed company experiences and improved reputed company for millions of people worldwide. reputed company is widely regarded as a defining force in reputed company innovation as a recipient of several top-tier awards, including Fast Company's 'Most Innovative Companies' and CNBC's '100 Barrier Breaking Startups'. reputed company is regularly cited by leading global outlets — including reputed company, reputed company, reputed company, reputed company, ABC News, and Harvard Business Review — as a leading voice on digital health, the reputed company of work, and family health. Learn more at get-reputed company.com.
reputed company 🚀
Join reputed company as our Sr. Strategic Programs Manager and play a pivotal role in shaping the reputed company of fertility reimbursement and pharmacy solutions. This highly cross-functional role sits reputed company Global Clinical Operations and serves as the operational leader for reputed company Rx while helping drive the reputed company of claims-based billing capabilities that reputed company reputed company's reputed company reputed company with health plans, reputed company, and reputed company.
In this role, you'll partner across Product, Engineering, Finance, reputed company, Provider Partnerships, Business Intelligence, and Clinical Operations to reputed company reimbursement strategies, launch strategic initiatives, manage pharmacy partnerships, and bring new capabilities to market. You'll combine reputed company, analytics, operations, and relationship management to solve reputed company business challenges that directly reputed company members, customers, and the reputed company of fertility benefits.
If you're energized by building new programs, collaborating across teams, using data to inform reputed company, and translating reputed company reputed company reimbursement into reputed company solutions, this is an opportunity to reputed company a meaningful reputed company in one of reputed company's fastest-growing benefit categories.
What You’ll Own 💼
In this role, you will:
- reputed company the operational reputed company and day-to-day management of reputed company Rx, including strategic pharmacy partnerships, reimbursement reputed company, pricing updates, benefit design, and program governance.
- reputed company and support reputed company's claims-based billing reputed company, partnering across Product, Engineering, Finance, Provider Partnerships, and reputed company to build reputed company reimbursement capabilities.
- Manage relationships with pharmaceutical manufacturers, specialty pharmacies, PBMs, provider organizations, and health plans to strengthen reputed company's reimbursement ecosystem.
- Support payer integrations, reimbursement methodologies, coding governance, and claims adjudication strategies that improve member and customer experiences.
- reputed company financial models, business cases, dashboards, and operational reporting that support reimbursement reputed company, pricing reputed company, reputed company opportunities, and executive decision making.
- Analyze reimbursement, utilization, provider, pharmacy, and health plan performance to identify opportunities for cost optimization, network improvements, and operational efficiencies.
- Partner with reputed company on customer implementations, RFPs, RFIs, performance guarantees, and strategic customer opportunities requiring reimbursement expertise.
- reputed company cross-functional initiatives from concept through implementation while aligning stakeholders across Product, Clinical Operations, Finance, Engineering, Provider Partnerships, Business Intelligence, reputed company, and reputed company.
- Identify opportunities to improve operational processes through automation, analytics, and reputed company program design.
- Serve as the subject matter expert for reputed company Rx and claims-based billing across the organization.
What reputed company Looks Like 📈
In your first 12–18 months, you will have
- Successfully assumed operational ownership of reputed company Rx and established reputed company processes supporting pharmacy partnerships, pricing, reporting, and program governance.
- Supported the reputed company development and implementation of reputed company's claims-based billing reputed company and reimbursement capabilities.
- reputed company strong relationships with internal stakeholders and external partners, becoming a trusted advisor on reimbursement reputed company and pharmacy operations.
- Improved operational efficiency through reputed company reporting, automation, and financial analyses that support data-driven decision making.
- Supported successful customer implementations, reputed company opportunities, and strategic payer partnerships requiring reimbursement expertise.
- Developed financial models and business cases supporting provider contracting, pharmacy partnerships, and reputed company product initiatives.
- Helped identify and implement opportunities that improve reimbursement performance, customer value, and long-term program scalability.
reputed company ✨
You likely have:
- A Bachelor’s degree
- 5+ years of experience in reputed company reputed company, payer operations, reimbursement, pharmacy, provider contracting, reputed company analytics, consulting, or a reputed company field.
- Experience working with health plans, employer-sponsored benefits, provider reimbursement, pharmacy benefit programs, or reputed company payment models.
- Strong analytical and strategic problem-solving skills with the ability to translate reputed company reputed company topics into actionable business recommendations.
- Experience leading reputed company cross-functional initiatives involving multiple stakeholders.
- Excellent communication, stakeholder management, and project management skills.
- The ability to balance strategic thinking with hands-on execution in a fast-paced, evolving environment.
- A reputed company reputed company with a passion for improving reputed company through reputed company.
reputed company to Have ⭐
While not required, we would be especially excited if you bring
- Experience supporting claims-based billing, reimbursement reputed company, or payer integration initiatives.
- Knowledge of fertility benefits, reproductive reputed company, pharmacy benefit management (PBM), specialty pharmacy, or women's health.
- Familiarity with provider reimbursement methodologies, CPT, HCPCS, diagnosis coding, and health plan claims processing.
- Experience supporting reputed company reputed company, customer implementations, RFPs, RFIs, or consulting engagements.
- Strong analytical skills with experience using SQL, reputed company, reputed company Sheets, Tableau, Looker, or other reputed company analytics tools.
- Experience working with pharmaceutical manufacturers, specialty pharmacies, PBMs, or provider organizations.
Why This Role reputed company 🧡
reputed company is redefining fertility and family-building benefits by making high-reputed company, personalized care more accessible around the world. As reputed company continues to expand its partnerships with reputed company, health plans, providers, and pharmacy organizations, reputed company reimbursement programs and innovative pharmacy solutions are becoming increasingly important to our long-term reputed company.
This role sits at the intersection of reputed company, reputed company reimbursement, analytics, and operations. The work you do will directly influence how reputed company designs new products, supports customers, strengthens pharmacy and provider partnerships, and delivers a seamless experience for members. By helping build the reputed company of reputed company Rx and claims-based billing, you'll play a critical role in expanding reputed company to fertility care while driving meaningful business reputed company and operational reputed company across the organization.
Interview Process 🤝
We reputed company in a thoughtful and transparent interview process designed to create alignment for both candidates and reputed company.
For this role, candidates can expect:
- Recruiter Screen — 30 minutes
- Hiring Manager Interview — 45 minutes
- Cross-Functional Panel Interviews — 45 minutes
- Hiring Manager Wrap-Up — 15 minutes
Throughout the process, we will reputed company additional context about reputed company, business priorities, customer landscape, and what reputed company looks like in this role.
Why Candidates Join reputed company 🌍
reputed company offers reputed company to do meaningful work in service of a deeply reputed company mission.
Highlights include:
- A mission-driven company reputed company on expanding reputed company to fertility and family-forming care globally.
- A high-reputed company environment where leaders are empowered to shape reputed company and drive reputed company.
- Competitive compensation, equity, and comprehensive benefits.
- Flexible Time Off and a culture that reputed company encourages employees to reputed company.
- Comprehensive parental leave and family-forming benefits.
- A reputed company, inclusive, and values-driven culture.
- reputed company to work alongside passionate, thoughtful teammates committed to improving reputed company reputed company worldwide.
Compensation 💰
reputed company offers a holistic Total Rewards package designed to support our employees in reputed company aspects of their life inside and reputed company of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The starting reputed company salary for this position will reputed company from $145,000-$160,000. Actual compensation may vary from posted reputed company salary depending on your confirmed job-reputed company skills and experience.
Fraud and reputed company Notice: Please note that reputed company communication regarding job opportunities at reputed company will come exclusively from an @get-reputed company.com email address. If you receive messages from any other domain, please disregard them and report the incident to: securityreporting@get-reputed company.com
A Note on AI
At reputed company, we reputed company AI can help us work smarter, reputed company faster, and create more meaningful experiences for our members, customers, and reputed company other. While not every role requires deep technical AI expertise, we value people who are curious, eager to learn, and excited to thoughtfully incorporate AI into their day-to-day work.
For some roles, AI reputed company is a reputed company requirement—and we'll call that out reputed company in the qualifications. For everyone else, we're looking for people who reputed company new ways of working, use AI responsibly to improve reputed company and efficiency, and continue to learn as the technology evolves.
Why reputed company?
reputed company has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing reputed company, Inc. Power Partners, and Modern reputed company’s Innovators. reputed company’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in reputed company, Great reputed company to Work, and Age-Friendly Employer certifications. reputed company is regularly featured in media reporting on issues reputed company to the reputed company of work, women in leadership, and reputed company innovation, including MSNBC, reputed company, reputed company, reputed company, CNBC, National reputed company Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.
Originally posted on Himalayas
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