Senior Director, Payer Strategy and Operations

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 looking for a strategic, relationship-driven leader to shape how we partner with payers and bring our value story to market.

This is a high-impact role at the center of our growth engine. You’ll connect the dots between our clinical outcomes, product experience, and payer priorities, and turn that into partnerships that scale.

You won’t just analyze opportunities — you’ll help create them. From shaping value-based care strategy to supporting complex deals and refining how we show up in the market, this role is about making our work resonate with the people who matter most.

What you'll do:

VBC Strategy 

• Evolve and operationalize Boulder’s approach to value-based contracting, including Total Cost of Care frameworks and risk structures
• Partner closely with Finance to evaluate contract opportunities and ensure strong economic alignment (you won’t own the models, but you need to know what matters)
• Translate performance data and clinical outcomes into clear, compelling market opportunities
• Help define pricing, packaging, and go-to-market strategy for payer partnerships
  

Storytelling & Sales Enablement

• Turn complex data, research, and outcomes into narratives that resonate with payer executives
• Own and continuously improve core commercial materials (pitch decks, QBRs, RFP responses, etc.)
• Partner with product, clinical, and operations teams to translate Boulder’s capabilities and workflows into clear, payer-facing messaging
• Collaborate with Product to develop and refine compelling demo scripts tailored to health plan audiences
• Act as a strategic partner on large, complex opportunities—helping structure deals, shape solutions, and guide pricing approach
• Enable the sales team with the positioning, materials, and support needed to close sophisticated value-based contracts

Operational Rigor & Insights

• Own and evolve the systems and processes that support our commercial organization (e.g., Salesforce, pipeline tracking, deal desk)
• Establish clear visibility into pipeline, performance, and growth opportunities
• Lead reporting and insights for the Commercial team, SLT, and Board to drive data-informed decisions
• 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 or healthcare strategy 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
• General understanding of CRM (Salesforce) data structures and business intelligence tools to translate raw data into actionable performance insights.

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

• Patients always come first
• Our opportunity is also our duty
• Move the industry forward, follow the data
• Facts to change minds, empathy to change hearts
• Turn bold ideas into even bolder action
• Strong individuals, stronger together
• Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply