Ophelia

3 months ago

Partnership Development Manager - Payors / Health Plans

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Drive health plan partnerships to scale Ophelia’s MOUD services by initiating and developing strategic relationships with payors, embedding Ophelia into care management workflows, and translating partnerships into high-quality member referrals and improved treatment engagement across health plans.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Administration & Executive Assistance

Seniority: Manager level

Key Responsibilities

•Build and manage relationships with key stakeholders across health plans, including case managers and care coordinators, behavioral health teams, and population health leaders
•Serve as the day-to-day partner ensuring Ophelia is top-of-mind for appropriate member referrals
•Design and implement referral pathways within health plan workflows to connect members to Ophelia
•Partner with external care management teams to embed Ophelia into case manager workflows, ensure smooth referral processes, and drive adoption
•Monitor referral trends, identify gaps in utilization, and implement targeted strategies to improve performance

Travel: Low travel

Pay and Benefits

Salary: 80,000 - 100,000 annually

Perks:Health InsuranceRemote Work401k

Key Requirements

•2-5+ years of Health plan experience, with Medicaid managed care preferred, exposure to payor partnerships, care management/case management programs, or behavioral/population health
•Utilization-focused operator: proven ability to drive utilization and engagement within existing partnerships (not just close deals)
•Health plan fluency: strong understanding of health plan operations, including case management workflows, member engagement challenges, and behavioral health care coordination
•Stakeholder influence: ability to engage and influence non-sales stakeholders (e.g., case managers, care coordinators, behavioral health teams) and build trust across clinical and operational teams
•Data-driven execution: highly analytical and comfortable using data to track performance, identify gaps, and adjust strategy to drive results

Experience:2-5 yearsHealthcareHealth plansTelehealth

Skills:CommunicationStakeholder managementNegotiationCollaborationProblem-solving

Languages:English

Company Brief

Ophelia

Provides employer-focused mental health benefits and suicide prevention services, combining clinical care, digital tools, care navigation, training, and 24/7 support to help organizations support employees’ mental wellbeing and reduce suicide risk.

Industry: Mental Health

Headquarters: New York, United States

Website

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Ophelia

3 months ago

Partnership Development Manager - Payors / Health Plans

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Administration & Executive Assistance

Seniority: Manager level

Key Responsibilities

•Build and manage relationships with key stakeholders across health plans, including case managers and care coordinators, behavioral health teams, and population health leaders
•Serve as the day-to-day partner ensuring Ophelia is top-of-mind for appropriate member referrals
•Design and implement referral pathways within health plan workflows to connect members to Ophelia
•Partner with external care management teams to embed Ophelia into case manager workflows, ensure smooth referral processes, and drive adoption
•Monitor referral trends, identify gaps in utilization, and implement targeted strategies to improve performance

Travel: Low travel

Pay and Benefits

Salary: 80,000 - 100,000 annually

Perks:Health InsuranceRemote Work401k

Key Requirements

•2-5+ years of Health plan experience, with Medicaid managed care preferred, exposure to payor partnerships, care management/case management programs, or behavioral/population health
•Utilization-focused operator: proven ability to drive utilization and engagement within existing partnerships (not just close deals)
•Health plan fluency: strong understanding of health plan operations, including case management workflows, member engagement challenges, and behavioral health care coordination
•Stakeholder influence: ability to engage and influence non-sales stakeholders (e.g., case managers, care coordinators, behavioral health teams) and build trust across clinical and operational teams
•Data-driven execution: highly analytical and comfortable using data to track performance, identify gaps, and adjust strategy to drive results

Experience:2-5 yearsHealthcareHealth plansTelehealth

Skills:CommunicationStakeholder managementNegotiationCollaborationProblem-solving

Languages:English

Company Brief

Ophelia

Industry: Mental Health

Headquarters: New York, United States

Website