Job Description

Company Description

At Trek Health, we’re on a mission to pull back the curtain on healthcare pricing. What started as a small team of data wonks and industry veterans has grown into a platform our customers call “the most accurate, value-driven transparency tool on the market.” We’re backed by $16 million from investors who believe deeply in our mission—Madrona Ventures, Lionheart Ventures, Altman Capital, Founder Collective, and founders/C-suite leaders from multiple unicorn startups. If you want to build something that truly moves the needle for hospitals, health systems, and the patients they serve, you belong here.

Role Description

Job Title: Payer Contract Manager

Level: Mid-Senior to Senior (Emerging Leader)

Manage People: No (individual contributor; you’ll lead initiatives and influence cross-functionally)

• Drive Negotiation Excellence: Guide provider clients through payer contract negotiations using our platform’s insights to secure optimal terms.
• Translate Data to Strategy: Partner with clients to convert pricing transparency data into actionable negotiation tactics and playbooks.
• Influence Product Roadmap: Surface frontline negotiation challenges and opportunities to shape future features and enhancements.

Key Responsibilities

1 - Client Engagement & Strategy

• Lead discovery sessions to understand each client’s payer mix, goals, and challenges.
• Develop tailored negotiation strategies leveraging platform analytics and benchmarks.

2 - Negotiation Process Management

• Manage end-to-end negotiation support: prep, rate modelling, proposal drafting, and negotiation calls.
• Coordinate internal and client stakeholders to keep deals on track and on deadline.

3 - Data Interpretation & Modeling

• Analyze transparency data to identify opportunities—e.g., out-of-network rate gaps, carve-outs, add-ons.
• Build simple models and visualizations that clarify impact and drive client decisions.

4 - Cross-Functional Collaboration

• Work closely with Customer Success to onboard clients and with Product to translate needs into specs.
• Partner with Engineering/Data teams to ensure insights are accurate, timely, and user-friendly.

5 - Feedback & Product Input

• Document recurring negotiation pain points and feature requests.
• Present insights and suggestions to Product leadership to inform roadmap prioritization.

30/60/90 Day Plan

30 Days

• Complete onboarding: platform basics, client portfolio, past negotiation case studies

• Shadow negotiation calls and prep sessions with senior team members

• Draft a standard negotiation playbook framework

60 Days

• Lead your first solo client negotiation support engagement

• Refine playbook based on real-world feedback

• Deliver a priority list of product enhancements tied to negotiation workflows

90 Days

• Demonstrate measurable improvement in client negotiation outcomes (e.g., rate uplift %)

• Roll out the finalized playbook across Customer Success

• Partner with Product to scope and schedule at least one platform feature driven by your insights

Skills & Experience

Must-Haves

• 5+ years running payer contract negotiations within provider organizations (health systems, hospitals)

• Deep expertise in contract structures, rate schedules, and negotiation tactics

• Proven track record securing favorable terms and measurable rate uplifts

• Excellent client-facing communication and stakeholder management

Superpower

• You combine data-driven analysis with negotiation savvy to close complex contracts.

Tradeoffs We Can Make

• Strong analytical and client engagement skills can balance less direct startup experience.

Nice-to-Haves

• Familiarity with claims/payer transparency data and BI tools (e.g., Tableau, Looker)

• Experience building negotiation playbooks or enablement materials

• MBA or advanced degree in health administration, business, or related field

Ideal Attributes

• Roll-Up-Your-Sleeves Mentality: You thrive in hands-on, fast-paced environments.
• Client-Obsessed: You obsess over delivering real value and ensuring client success.
• Collaborative Leader: You influence without authority and rally cross-functional teams.
• Strategic Thinker: You balance tactical negotiation details with long-term relationship goals.
• Outcome-Driven: You focus relentlessly on metrics that matter—rate improvements, deal velocity.

Demonstrated Success

• Negotiated multi-million-dollar contracts with measurable rate improvements.

• Built or led adoption of a negotiation playbook used across an organization.

• Recognized for driving process improvements or product ideas through frontline experiences.

Why You’ll Love This Role

• Customer Impact: Your work will directly improve provider margins and patient access.

• Product Influence: Your insights will shape the next generation of our platform.

• Growth Opportunity: Scale a new function and grow with a fast-moving startup.

Positives

• Autonomy to design and own the negotiations practice.

• Close collaboration with leadership, product, and engineering teams.

• High visibility and direct contribution to company success.

Challenges

• Early-stage environment: you’ll build both process and structure from the ground up.

• Balancing multiple high-priority client engagements with product feedback cycles.

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