Senior Director, Value Based Contracting

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

We're looking for a senior value-based contracting and health plan partnerships leader to own how payer deals are evaluated, structured, and executed, in close partnership with the VP of Payer Strategy.

At Boulder, payer contracting execution means being responsible for deciding which deals are worth pursuing, shaping the economics and structure, and carrying them through to signed, workable contracts. You will be accountable for the quality, results of deals and revenue impact to Boulder - not the number of meetings held or exploratory conversations without a clear path to sustainable deal economics for both parties.

You will drive two core deal motions:

• Renegotiation & conversion (direct ownership)
• Net-New Market contracting (Medicaid and Commercial) support ensuring agreements are economically sound, operationally executable, and scalable over time.

This is not a pure sales role, although sales literacy, negotiation skills and strong executive presence are critical as you will be a key externally-facing Boulder representative to the market. You will not be responsible for maximizing the number of payer meetings or inbound conversations, but for ensuring that payer work results in high-quality, executable contracts that drive durable enterprise value.

This role reports directly to the VP of Payer Strategy, who sets payer and go-to-market contracting strategy. 

What you'll do

Execution Ownership

• Enforce clear contract criteria before organizational time or resources are committed
• Prevent unqualified or low-ROI inbound opportunities from consuming payer, executive, or cross-functional bandwidth
• Ensure every active opportunity has a defined deal hypothesis, economic model, decision-maker map, and execution path
• Slow, redirect, or stop conversations that do not align with Boulder’s payer strategy or value-based contracting priorities

Renegotiation, Conversion & Economic Stewardship (Primary)

• In partnership with VP, Payer Strategy, lead conversion of existing FFS contracts to value-based arrangements
• Own end-to-end execution of negotiated health plan contracts, from strategy through contract signature and implementation readiness, with accountability for long-term contract sustainability and mutually derived value
• Exercise judgment in managing renegotiation dynamics and payer relationships, including political, operational, clinical, and economic constraints.
• Define what analytics and financial modeling is needed for each deal and partner closely with Finance, Analytics, Clinical, and Ops to ensure alignment
• Ensure consistency across contracts, narratives, and payer expectations
• Structure value-based proposals and contracts (pricing, quality metrics, downside risk, guardrails)
• Hold the line on PMPMs and long-term economics, as well as internal “go / no-go” thresholds for deals
• Ensure contracts are implementable with Boulder Care’s clinical and operational model

Oversee Net-New Market Contracting

• In partnership with the VP, apply disciplined judgment to net-new market opportunities, ensuring only strategically aligned, economically sound deals advance
• Assist  in deal strategy and mechanics and synthesizing market intelligence 
• Support in prioritization of time and ensure deals advance through a structured sales motion
• Support executive-level outreach and early-stage negotiations
• Know when and how to leverage executive sponsorship (VP / CEO, SVP Medical Affairs)
• This role retains deal authority and economic accountability b