Overview

Compensation We Offer

• The initial compensation for this position ranges from $131,940 - $162,270 annually; depending on experience, location, and internal equity considerations.

Benefits We Offer

• Benefits Eligibility starts on day ONE
• We provide a robust benefits package which includes medical, dental, vision, See our Benefits Page HERE.
• 401K Employer Match up to 4%
• Competitive Time Off Plans

Must meet eligibility requirements based on employment status

Pay Range

$131,940 - $162,270 annually
Job Summary

Reporting to the Executive Director of Healthcare Business, the Director of Healthcare Business serves as an enterprise-level leader responsible for advancing Pacific Clinics’ healthcare business through payer strategy, contracting, and market expansion. This role is primarily accountable for driving revenue growth and diversification by developing and executing payer partnership strategies, leading contract negotiations, and expanding the organization’s presence across multiple healthcare markets. The Director plays a central role in identifying, structuring, and advancing new business opportunities that align with the organization’s long-term strategic objectives. In addition, the Director ensures that payer agreements and new business initiatives are effectively translated into scalable operations by partnering cross-functionally to support implementation, infrastructure alignment, and ongoing performance. Working closely with executive leadership, finance, legal, and operational teams, this position helps position Pacific Clinics for sustained growth, stronger market competitiveness, and long-term success in an increasingly complex payer environment.

Responsibilities

Payer Strategy & Contracting:

• Oversee full lifecycle of health plan contracting, including negotiation, rate development, and execution in partnership with Finance, Legal and Contract Dept.
• Establish standardized contracting approaches, pricing frameworks, and governance processes
• Maintain alignment between healthcare payer strategy and organizational financial and operational goals

Business Development & Market Expansion:

• Support development and execution of program growth strategies across healthcare payer and partnership opportunities
• Evaluate and prioritize new business opportunities in alignment with organizational strategy
• Partner with executive leadership to advance strategic relationships and expand market presence

Infrastructure, Implementation & Operational Integration:

• Partner cross-functionally with internal departments to support the development of scalable infrastructure and ensure operational readiness for payer contracts and business initiatives
• Collaborate to align workflows, processes, and systems across functions, enabling consistency, compliance, and effective execution
• Support the implementation and ongoing optimization of healthcare business initiatives, ensuring coordination across clinical, operational, and administrative teams

Payer & Executive Relationship Management:

• Develop and maintain strong relationships with payer partners, health systems, and key external stakeholders
• Serve as a primary liaison between Pacific Clinics and payer organizations
• Support executive-level engagement, negotiations, and partnership development
• Ensure long-term partner satisfaction and alignment

Performance & Financial Oversight:

• Partner with Finance and operational leadership to monitor financial performance, revenue realization, and key performance indicators across payer relationships
• Identify risks and opportunities related to payer contracts, including performance trends, reimbursement structures, and evolving value-based expectations
• Support continuous improvement in contract performance, pricing strategies, and operational efficiency, with a focus on outcomes, quality, and long-term value

Organizational Leadership & Collaboration:

• Serve as a key leader across the organization, supporting healthcare business strategy and execution for both new and existing programs.
• Provide guidance and coordination across departments to support healthcare business initiatives
• Represent the organization in internal and external forums
• Perform other duties as assigned to support organizational priorities

Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
• Bachelor’s degree in related field and ten (10) years of directly related experience is required; Or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:
• 5 or more years of experience in business development with demonstrated experience in developing and implementing new health plan business strategies and programs.
• 5 or more years of experience implementing and working with enterprise applications, EHR and other applications required.

Job Competencies

• Business & Financial Acumen
• Strategic Thinking & Execution
• Change Management & Systems Thinking
• Ability to Manage Multiple Priorities in a Fast-Paced Environment
• Critical Thinking and Problem Solving
• Relationship Management and Influence

Physical Requirements

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EEOC

We are an Equal Opportunity Employer, which includes providing reasonable accommodations for individuals with a disability. We will consider for employment, qualified Applicants with Criminal Histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.

Payer Strategy & Contracting:Oversee full lifecycle of health plan contracting, including negotiation, rate development, and execution in partnership with Finance, Legal and Contract Dept. Establish standardized contracting approaches, pricing frameworks, and governance processes. Maintain alignment between healthcare payer strategy and organizational financial and operational goals. Business Development & Market Expansion:Support development and execution of program growth strategies across healthcare payer and partnership opportunities. Evaluate and prioritize new business opportunities in alignment with organizational strategy. Partner with executive leadership to advance strategic relationships and expand market presence. Infrastructure, Implementation & Operational Integration:Partner cross-functionally with internal departments to support the development of scalable infrastructure and ensure operational readiness for payer contracts and business initiatives. Collaborate to align workflows, processes, and systems across functions, enabling consistency, compliance, and effective execution. Support the implementation and ongoing optimization of healthcare business initiatives, ensuring coordination across clinical, operational, and administrative teams. Payer & Executive Relationship Management:Develop and maintain strong relationships with payer partners, health systems, and key external stakeholders. Serve as a primary liaison between Pacific Clinics and payer organizations. Support executive-level engagement, negotiations, and partnership development. Ensure long-term partner satisfaction and alignment. Performance & Financial Oversight:Partner with Finance and operational leadership to monitor financial performance, revenue realization, and key performance indicators across payer relationships. Identify risks and opportunities related to payer contracts, including performance trends, reimbursement structures, and evolving value-based expectations. Support continuous improvement in contract performance, pricing strategies, and operational efficiency, with a focus on outcomes, quality, and long-term value. Organizational Leadership & Collaboration:Serve as a key leader across the organization, supporting healthcare business strategy and execution for both new and existing programs. Provide guidance and coordination across departments to support healthcare business initiatives. Represent the organization in internal and external forums. Perform other duties as assigned to support organizational priorities Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Bachelor’s degree in related field and ten (10) years of directly related experience is required; Or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:5 or more years of experience in business development with demonstrated experience in developing and implementing new health plan business strategies and programs . or more years of experience implementing and working with enterprise applications, EHR and other applications required. Job Competencies Business & Financial Acumen. Strategic Thinking & Execution. Change Management & Systems Thinking. Ability to Manage Multiple Priorities in a Fast-Paced Environment. Critical Thinking and Problem Solving. Relationship Management and Influence

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