← All roles

Health Plan Partnerships Lead

Abby Care· OCEO
Apply on company site
Remote$150k - $200kFull-timePosted 2mo ago

About the role

Health Plan Partnerships Lead responsible for market entry strategy, state-by-state health plan partnerships, and program design to scale Abby Care’s care-at-home platform across new states and verticals.

Responsibilities

  • Build the business case for new states. Size the opportunity, map the competitive and health plan landscape, and define a state-specific entry strategy.
  • Own state market research. Understand Medicaid programs, health plan participation, priorities, and implications for Abby Care’s business model; ensure program designs comply with state incentive models.
  • Evaluate new verticals and build initial business cases and program parameters for adjacent populations (e.g., Duals, PACE).
  • Set the growth roadmap for each state; decide which health plans to approach and engage.
  • Shape Abby Care’s value proposition for health plans grounded in priorities and economics.
  • Support contract negotiations and participate in health plan evaluations.
  • Join strategic health plan meetings and translate insights into program and market-entry adjustments.
  • Structure pilots with defined scope, success criteria, and path to scale.
  • Turn partner needs into go-live requirements for product and engineering teams.
  • Model program economics and ROI for health plan partnerships.
  • Set and track success metrics for partnerships.
  • Own partnership performance and drive cross-functional improvements.
  • Build and lead a team across research, modeling, pilot design, and performance; raise health plan fluency across the company; create repeatable playbooks.

Qualifications

  • 5+ years of professional experience, with a strong preference for experience at a top-tier management consulting firm
  • Deep understanding of the healthcare landscape, payor economics, state Medicaid programs and regulatory frameworks; experience researching regulations and compliance
  • Experience designing programs from scratch, including value proposition, metrics, pilots vs. scale; ability to combine quantitative and qualitative perspectives
  • Highly structured thinker with ability to document, create operational frameworks, and handoff packages across execution teams
  • Experience mentoring or leading teams or demonstrated readiness to build and lead a team as scope grows

Skills

Required:Market entry strategyMedicaid/state regulatory understandingFinancial modelingPartnership development

Benefits

  • Competitive compensation packages
  • Comprehensive health coverage (medical, dental, vision) with $0 deductible PPO and company-funded HSA; employer-paid life and disability insurance
  • Generous paid time off plus 10 paid company holidays
  • HSA contributions, optional FSA and commuter benefits; full coverage of 401(k) account fees (employer match not currently offered)
  • Paid parental leave up to 10 weeks depending on tenure
Last updated Oct 14, 2026. Interested? Apply on the company site.

About Abby Care

Get paid for family caregiving

We help you get compensated by Medicaid for taking care of your child with disabilities or special needs.

Medicaidfamily caregivingdisabilitiesspecial needs
Company profileWebsite

More open roles at Abby Care