Provider Strategy Lead

A company is looking for a Provider Strategy Lead to support a national payer innovation initiative focused on transforming prior authorization through AI.

Key Responsibilities

Lead provider engagement and strategy within the customer base

Develop and execute strategies to align provider operations with prior authorization transformation goals

Serve as the primary liaison between the company and provider organizations, ensuring clarity of objectives and outcomes

Required Qualifications

8+ years of experience in healthcare strategy, provider relations, or health plan network management

Strong understanding of provider operations, clinical workflows, and revenue cycle processes

Experience collaborating with national or regional payers on utilization management or care coordination initiatives

Proven ability to manage complex, multi-stakeholder projects

Knowledge of prior authorization, utilization management, or care management workflows